Gavin Brett Bishop, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

DR.0055997 Issued in CO

Practice address

1610 Dry Creek Dr
Longmont, CO 80503-6405

Phone

(303) 772-1600

Fax

(303) 772-9317

NPI assigned

Apr 23, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gavinbishop@fro.allscriptsdirect.net

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

• Poudre Valley Medical Group, LLC

  • General Practice Physician
  • Loveland, CO
  • NPI 1225356868

  Orthopaedic Surgery

  Medicare reassignment NPD
• Uchealth Estes Valley Medical Center

  • Critical Access Hospital
  • Estes Park, CO
  • NPI 1154312981
  Medicare reassignment NPD
• Poudre Valley Medical Group, LLC

  • General Practice Physician
  • Loveland, CO
  • NPI 1366763260
  NPD
• Orthopaedic Clinical Assoc Inc.

  • Specialist
  • Roxbury Crossing, MA
  • NPI 1578528949
  NPD (past)

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1225203946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E PROSPECT RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805259718",
            "telephone_number": "970-493-0112",
            "fax_number": "970-493-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 DRY CREEK DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036405",
            "telephone_number": "303-772-1600",
            "fax_number": "303-772-9317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Exempla Cir Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800263391",
            "country_code": "US",
            "telephone_number": "303-772-1600",
            "fax_number": "303-772-9317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "GAVIN",
        "middle_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "222498",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "DR.0055997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73770060",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendra Billen, M.ED., BCBA
• Anna Binder
• Franklin Binder, LPC
• Jessica Lynn Birch, MD
• Anna Katarina Birchfield, MA, CF-SLP
• Keiran Lee Bissell, LCSW
• Brittany Black
• Grant Michael Black, PT, DPT
• Tara Narine Black, OTR/L
• Sarah Louise Blackburn, LCSW

• Orthopaedic Surgery Physician in Longmont, CO
• Providers in Longmont, CO by specialty
• Orthopaedic Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.