Individual provider Active NPI

Peter Caldwell Gilbreath, MD

  • Pediatrics Physician
  • Austin, TX
National Provider Identifier
1356761373
Registry record updated Sep 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R1532 Issued in TX
Practice address
4900 Mueller Boulevard, Suite 3S.066C
Dell Children's Medical Center
Austin, TX 78723
Phone
(512) 324-0165
NPI assigned
Apr 17, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X R1532 TX Primary

Addresses

Primary practice location

4900 Mueller Boulevard, Suite 3S.066C
Dell Children's Medical Center
Austin, TX 78723

Mailing address

4900 Mueller Boulevard, Suite 3S.066C
Dell Children's Medical Center
Austin, TX 78723
Phone (512) 324-0165

Other identifiers 1

IdentifierTypeStateIssuer
BP1-0049372OtherTXBASIC POST GRADUATE TRAINING PERMIT -

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170620002722 TX Practitioner - Pediatric Medicine 9335417138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Minnesota Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dell Childrens Medical GroupGroup PAC ID 8224092978, 117 clinicians

Practice addresses (Care Compare)

1301 Barbara Jordan Blvd
Austin, TX 78723-3078

4900 Mueller Blvd
Austin, TX 78723-3051
Phone (512) 324-0000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dell Children's Medical Group CurrentSince Jul 1, 2017 Accepting new patients
Dell Children's Medical Group Pediatrics CurrentSince Jul 1, 2017 Accepting new patients
Dell Children's Medical Group Pediatrics Current Accepting new patients
Seton Family of Doctors Past Accepting new patients
Ascension Seton Past Accepting new patients

Locations

4900 Mueller Blvd
Ste 3S66C
Austin, TX 78723
Phone (512) 324-0165

4900 Mueller Blvd
#2
Austin, TX 78723

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1000 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 628-1800

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504742400000",
    "number": "1356761373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 MUELLER BOULEVARD, SUITE 3S.066C",
            "address_2": "DELL CHILDREN'S MEDICAL CENTER",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78723",
            "telephone_number": "512-324-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 MUELLER BOULEVARD, SUITE 3S.066C",
            "address_2": "DELL CHILDREN'S MEDICAL CENTER",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78723",
            "telephone_number": "512-324-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBREATH",
        "first_name": "PETER",
        "middle_name": "CALDWELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-17",
        "last_updated": "2017-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "R1532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BASIC POST GRADUATE TRAINING PERMIT -",
            "identifier": "BP1-0049372",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.