NPIMap

Individual provider Active NPI

K Gerstenberg, D.O.

  • Family Medicine Physician
  • Port Neches, TX
National Provider Identifier
1265430649
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J6456 Issued in TX
Practice address
2645 Nall St
Port Neches, TX 77651-4707
Phone
(409) 210-3336
Fax
(409) 527-3969
NPI assigned
Jul 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J6456 TX Primary

Addresses

Primary practice location

2645 Nall St
Port Neches, TX 77651-4707

Mailing address

2645 Nall St
Port Neches, TX 77651-4707
Phone (409) 210-3336

Other practice location 1

2927 Nall St
Port Neches, TX 77651-5603
Phone (409) 210-3336

Other identifiers 2

IdentifierTypeStateIssuer
042775906MedicaidTX
8K9900OtherTXBCBS INDIVDUAL NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clinic@gerstenbergclinic.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610000754 TX Practitioner - Family Practice 4587647847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
K Paul Gerstenberg, D O, P aGroup PAC ID 1254314511, 5 clinicians

Practice addresses (Care Compare)

2927 Nall St
Port Neches, TX 77651-5603
Phone (409) 210-3336

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J6456TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
K Paul Gerstenberg, D O, P a Family Medicine CurrentSince Apr 1, 2004 Accepting new patients
JCH Inc PastSince Apr 1, 2021 Accepting new patients

Locations

2927 Nall St
Port Neches, TX 77651
Phone (409) 210-3336

2645 Nall St
Port Neches, TX 77651
Phone (409) 210-3336

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 and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1265430649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 NALL ST",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776514707",
            "telephone_number": "409-210-3336",
            "fax_number": "409-527-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 NALL ST",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776514707",
            "telephone_number": "409-210-3336",
            "fax_number": "409-527-3969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2927 Nall St",
            "address_purpose": "LOCATION",
            "city": "Port Neches",
            "state": "TX",
            "postal_code": "776515603",
            "country_code": "US",
            "telephone_number": "409-210-3336",
            "fax_number": "409-527-3969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERSTENBERG",
        "first_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J6456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042775906",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVDUAL NUMBER",
            "identifier": "8K9900",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clinic@gerstenbergclinic.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "clinic use patient HIE",
            "address_1": "2645 Nall St",
            "city": "Port Neches",
            "state": "TX",
            "country_code": "US",
            "postal_code": "776514707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port Neches, TX

Sources for this page

Verify at the official NPI Registry.