Active NPI
Gerald Alan Perch, MD
- Urology Physician
- St Augustine, FL
National Provider Identifier
1124183736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD027389L
- Practice address
- 287 Oak Common Ave
St Augustine, FL 32095-6803 - Phone
- (904) 824-3606
- Fax
- (904) 824-3606
- NPI assigned
- Dec 26, 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD027389L | PA | Primary |
Addresses
Primary practice location
287 Oak Common Ave
St Augustine, FL 32095-6803
Mailing address
287 Oak Common Ave
St Augustine, FL 32095-6803
Phone (904) 824-3606
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD027389L | PA | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229904000000",
"number": "1124183736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "287 OAK COMMON AVE",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320956803",
"telephone_number": "904-824-3606",
"fax_number": "904-824-3606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "287 OAK COMMON AVE",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320956803",
"telephone_number": "904-824-3606",
"fax_number": "904-824-3606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERCH",
"first_name": "GERALD",
"middle_name": "ALAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2008-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "PA",
"license": "MD027389L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.