Individual provider Active NPI

Brittney Wise Gilbert, DMD

  • Dentist
  • Chelsea, AL
National Provider Identifier
1255694063
Registry record updated Aug 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5924C1 Issued in AL
Practice address
300 Jade Park Ste 302
Chelsea, AL 35043-8349
Phone
(205) 678-2096
Fax
(205) 678-2098
NPI assigned
Jun 18, 2012
Last updated
Aug 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5924C1 AL Primary

Addresses

Primary practice location

300 Jade Park Ste 302
Chelsea, AL 35043-8349

Mailing address

1932 Laurel Rd
Ste 2a
Vestavia, AL 35216-1945
Phone (205) 978-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160825001932 AL Order and Referring Only - DentistPractitioner - Dentist 4688969983

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5924C1ALMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cathey G. Davis, DMD, LLC Past Accepting new patients
Chelsea Family Dentistry, PC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471651200000",
    "number": "1255694063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 LAUREL RD",
            "address_2": "STE 2A",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352161945",
            "telephone_number": "205-978-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 JADE PARK STE 302",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "350438349",
            "telephone_number": "205-678-2096",
            "fax_number": "205-678-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "BRITTNEY",
        "middle_name": "WISE",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2016-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5924C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, AL

Sources for this page

Verify at the official NPI Registry.