Individual provider Active NPI

Henry Tucker Gilbert, MD

  • Diagnostic Radiology Physician
  • Greensboro, NC
National Provider Identifier
1114903176
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20797 Issued in NC
Practice address
3801 W Market St
Greensboro, NC 27407-1301
Phone
(336) 852-3300
Fax
(336) 852-0651
NPI assigned
Dec 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 20797 NC Primary
Diagnostic Radiology Physician 2085R0202X 0101-026375 VA

Addresses

Primary practice location

3801 W Market St
Greensboro, NC 27407-1301

Mailing address

3801 W Market St
Greensboro, NC 27407-1301
Phone (336) 852-3300

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20797NCMDPharmacist
0101-026375VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Overread Services PLLC Diagnostic Radiology Past Accepting new patients
High Point Radiological Services Diagnostic Radiology Past Accepting new patients
Southeastern Radiology PA Diagnostic Radiology Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1114903176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 W MARKET ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071301",
            "telephone_number": "336-852-3300",
            "fax_number": "336-852-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 W MARKET ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071301",
            "telephone_number": "336-852-3300",
            "fax_number": "336-852-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "HENRY",
        "middle_name": "TUCKER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "20797",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101-026375",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.