Active NPI
George Warren Gilbride, RPA
- Radiology Practitioner Assistant
- Gainesville, FL
National Provider Identifier
1134487242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Practitioner Assistant
- License
- RA 26
- Practice address
- 1600 SW Archer Road
Department Fo Radiology
Gainesville, FL 32610-0374 - Phone
- (352) 265-0116
- Fax
- (352) 265-0067
- NPI assigned
- Apr 26, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Practitioner Assistant | 243U00000X | RA 26 | FL | Primary |
| Radiologic Technologist | 247100000X | CRT 24366 | FL |
Addresses
Primary practice location
1600 SW Archer Road
Department Fo Radiology
Gainesville, FL 32610-0374
Mailing address
1600SW Archer Road
Department Fo Radiology
Gainesville, FL 32610-0374
Phone (352) 265-0116
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RA 26 | FL | MD | Radiology Practitioner Assistant |
| CRT 24366 | FL | MD | Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335398400000",
"number": "1134487242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600SW ARCHER ROAD",
"address_2": "DEPARTMENT FO RADIOLOGY",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100374",
"telephone_number": "352-265-0116",
"fax_number": "352-265-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SW ARCHER ROAD",
"address_2": "DEPARTMENT FO RADIOLOGY",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100374",
"telephone_number": "352-265-0116",
"fax_number": "352-265-0067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBRIDE",
"first_name": "GEORGE",
"middle_name": "WARREN",
"credential": "RPA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-26",
"last_updated": "2012-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "243U00000X",
"taxonomy_group": "",
"desc": "Radiology Practitioner Assistant",
"state": "FL",
"license": "RA 26",
"primary": true
},
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "FL",
"license": "CRT 24366",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.