Individual provider Active NPI

Julie Ann Gilbert, MD

  • Obesity Medicine (Family Medicine) Physician
  • Jefferson, OR
National Provider Identifier
1114957461
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X
License
19085 Issued in OR
Practice address
1557 Talbot Rd SE
Jefferson, OR 97352
Phone
(971) 273-7143
Fax
(971) 915-0321
NPI assigned
Jul 3, 2006
Last updated
Mar 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19085 OR
Obesity Medicine (Family Medicine) Physician 207QB0002X MD19085 OR
Obesity Medicine (Family Medicine) Physician 207QB0002X 19085 OR Primary

Addresses

Primary practice location

1557 Talbot Rd SE
Jefferson, OR 97352

Mailing address

1557 Talbot Rd SE
Jefferson, OR 97352
Phone (971) 273-7143

Other identifiers 2

IdentifierTypeStateIssuer
026478MedicaidOR
R157126OtherORMEDICARE PTAN

Other names 1

  • Julie Ann Kurian Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 9, 2019 through Dec 9, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19085ORMDObesity Medicine (Family Medicine) Physician
MD19085ORMDObesity Medicine (Family Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1114957461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1557 TALBOT RD SE",
            "city": "JEFFERSON",
            "state": "OR",
            "postal_code": "97352",
            "telephone_number": "971-273-7143",
            "fax_number": "971-915-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1557 TALBOT RD SE",
            "city": "JEFFERSON",
            "state": "OR",
            "postal_code": "97352",
            "telephone_number": "971-273-7143",
            "fax_number": "971-915-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "19085",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "OR",
            "license": "MD19085",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "OR",
            "license": "19085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026478",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "R157126",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "KURIAN",
            "middle_name": "ANN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jefferson, OR

Sources for this page

Verify at the official NPI Registry.