Active NPI
Gerardo Gaerlan Gregorio, M.D.
- Internal Medicine Physician
- Phoenix, AZ
National Provider Identifier
1295956779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- #27045
- Practice address
- 3250 W. Lower Buckeye Road
Phoenix, AZ 85009 - Phone
- (602) 876-7114
- Fax
- (602) 442-8659
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | #27045 | AZ | Primary |
Addresses
Primary practice location
3250 W. Lower Buckeye Road
Phoenix, AZ 85009
Mailing address
2714 E. Hillery Drive
Phoenix, AZ 85032
Phone (602) 876-7114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #27045 | AZ | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295956779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2714 E. HILLERY DRIVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85032",
"telephone_number": "602-876-7114",
"fax_number": "602-442-8659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 W. LOWER BUCKEYE ROAD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85009",
"telephone_number": "602-876-7114",
"fax_number": "602-442-8659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORIO",
"first_name": "GERARDO",
"middle_name": "GAERLAN",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "#27045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.