Individual provider Active NPI

Gregory Lee Gilbreath, NP

  • Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1265485486
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
250154 Issued in TX
Practice address
755 N 11TH St
Suite P2200
Beaumont, TX 77702-1500
Phone
(409) 892-1192
Fax
(409) 923-5074
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 250154 TX Primary

Addresses

Primary practice location

755 N 11TH St
Suite P2200
Beaumont, TX 77702-1500

Mailing address

PO Box 419
Vidor, TX 77670-0419
Phone (409) 783-1663

Other identifiers 2

IdentifierTypeStateIssuer
0189219D2MedicaidTX
146592401MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080318000501 TX Practitioner - Nurse Practitioner 4981780806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Cardiovascular Specialists LLPGroup PAC ID 9032179791, 12 clinicians

Practice addresses (Care Compare)

755 N 11TH St
Suite P2200
Beaumont, TX 77702-1513
Phone (409) 892-1192

Hospital & facility affiliations

  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034
  • Christus Jasper Memorial Hospital Hospital, Jasper, TX, CCN 450573
  • Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346

Merit-based Incentive Payment System (MIPS)

Final score
90.52 of 100Reported as group
Quality
85.38
Improvement activities
40
Cost
82.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Cardiovascular Specialists, LLP CurrentSince Jan 1, 2008 Accepting new patients
Neches Clinic PLLC PastSince Oct 4, 2021 Accepting new patients
Timothy K. Colgan MD PA Past Accepting new patients

Locations

755 N 11th St
Ste P2200
Beaumont, TX 77702
Phone (409) 892-1192

2014 S Wheeler St
Ste 200
Jasper, TX 75951
Phone (409) 383-1780

1100 W Bluff St
Woodville, TX 75979
Phone (409) 283-6400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22304/brand/1/csg/1/fhir/r4
  • Direct secure messaging: gregory.gilbreath.p4@direct.ahgcardiology.nextgenshare.com

Organizations & group practices 3

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 3

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1265485486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419",
            "city": "VIDOR",
            "state": "TX",
            "postal_code": "776700419",
            "telephone_number": "409-783-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST",
            "address_2": "SUITE P2200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021500",
            "telephone_number": "409-892-1192",
            "fax_number": "409-923-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBREATH",
        "first_name": "GREGORY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "250154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0189219D2",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146592401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.