Active NPI
Erek Rand Gillespie, DC
- Sports Physician Chiropractor
- Fort Knox, KY
National Provider Identifier
1104937440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 5406
- Practice address
- 200 Brule St BLDG 871
Fort Knox, KY 40121-6100 - Phone
- (502) 626-9733
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 5406 | CO | Primary |
Addresses
Primary practice location
200 Brule St BLDG 871
Fort Knox, KY 40121-6100
Mailing address
6832 Windham Pkwy
Prospect, KY 40059-8878
Phone (502) 612-7530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5046 | CO | MD | Professional Counselor |
| 5406 | CO | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1104937440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6832 WINDHAM PKWY",
"city": "PROSPECT",
"state": "KY",
"postal_code": "400598878",
"telephone_number": "502-612-7530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BRULE ST BLDG 871",
"city": "FORT KNOX",
"state": "KY",
"postal_code": "401216100",
"telephone_number": "502-626-9733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLESPIE",
"first_name": "EREK",
"middle_name": "RAND",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CO",
"license": "5406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Knox, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.