NPIMap

Individual provider Active NPI

Justin Gause

  • Family Medicine Physician
  • Hereford, AZ
National Provider Identifier
1336703180
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
66937 Issued in AZ
Practice address
10524 Az-92
Hereford, AZ 85615
Phone
(520) 366-0300
NPI assigned
Apr 26, 2019
Last updated
Mar 4, 2025By the provider in NPPES
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 66937 AZ Primary

Addresses

Primary practice location

10524 Az-92
Hereford, AZ 85615

Mailing address

101 Cole Ave
Bisbee, AZ 85603-1327
Phone (520) 432-5082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20221118000937 AZ Practitioner - Family PracticePractitioner - Addiction Medicine 9931577103 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bisbee Hospital AssociationGroup PAC ID 5092626168, 69 clinicians

Practice addresses (Care Compare)

101 Cole Ave
Bisbee, AZ 85603-1327
Phone (520) 432-5383

10524 E Hwy 92
Hereford, AZ 85615-8371
Phone (520) 366-0300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66937AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Codac Health Recovery and Wellness Current Accepting new patients
Bisbee Hospital Association CurrentSince Nov 1, 2024 Accepting new patients
Benson Hospital Corporation CurrentSince Jun 17, 2023 Accepting new patients
Benson Hospital Corporation CurrentSince Jun 17, 2023 Accepting new patients
Codac Health, Recovery & Wellness, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Bisbee Hospital Association CurrentSince Nov 1, 2024 Accepting new patients
Bisbee Hospital Association Current Accepting new patients
Codac Health Recovery and Wellness CurrentSince Oct 1, 2022 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Oct 1, 2024 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Oct 1, 2024 Accepting new patients
Bisbee Hospital Association Past Accepting new patients

Locations

450 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-2261

101 Cole Ave
Bisbee, AZ 85603
Phone (520) 432-5383

7 Bisbee Rd
Bisbee, AZ 85603
Phone (520) 432-2042

1501 S Yale St
Ste 150
Flagstaff, AZ 86001
Phone (928) 527-4325

10524 E Highway 92
Hereford, AZ 85615
Phone (520) 366-0300

4524 E Hereford Rd
Ste 1
Hereford, AZ 85615

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

1075 E Fort Lowell Rd
Tucson, AZ 85719
Phone (520) 202-1960

1460 W Valencia Rd
Tucson, AZ 85746
Phone (520) 573-0966

380 E Fort Lowell Rd
Tucson, AZ 85705
Phone (520) 202-1786

4585 E Speedway Blvd
Tucson, AZ 85712
Phone (520) 319-3359

Organizations & group practices 11

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.

Hospital & facility affiliations 5

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": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1336703180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 COLE AVE",
            "city": "BISBEE",
            "state": "AZ",
            "postal_code": "856031327",
            "telephone_number": "520-432-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10524 AZ-92",
            "city": "HEREFORD",
            "state": "AZ",
            "postal_code": "85615",
            "telephone_number": "520-366-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUSE",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-26",
        "last_updated": "2025-03-04",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "66937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hereford, AZ

Sources for this page

Verify at the official NPI Registry.