Organization Active NPI

Gebito Medical

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1154061703
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GEBITO MEDICAL
Practice address
600 E Amber St Ste 107
San Antonio, TX 78221-2403
Phone
(210) 343-2649
Fax
(210) 892-3669
NPI assigned
Mar 31, 2022
Last updated
Apr 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Gregory E Brown, MDNPI 1922147933
Title
Owner
Phone
(210) 643-0671

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

600 E Amber St Ste 107
San Antonio, TX 78221-2403

Mailing address

4101 McInnis Rd
San Antonio, TX 78222-1010
Phone (210) 643-0671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240627004327 TX Part B Supplier - Clinic/Group Practice 9537603790 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

4318 De Zavala Rd
Ste 310
San Antonio, TX 78249
Phone (210) 343-2649

8118 Datapoint Dr
San Antonio, TX 78229

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1154061703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 MCINNIS RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782221010",
            "telephone_number": "210-643-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E AMBER ST STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782212403",
            "telephone_number": "210-343-2649",
            "fax_number": "210-892-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEBITO MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-643-0671",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.