Active NPI
Richard E Gilbert, MD
- Family Medicine Physician
- Tacoma, WA
National Provider Identifier
1366451825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00011985
- Practice address
- 3124 S 19TH St
Ste 110
Tacoma, WA 98405-2433 - Phone
- (253) 459-7500
- NPI assigned
- Aug 5, 2006
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00011985 | WA | Primary |
| Occupational Medicine Physician | 2083X0100X | MD00011985 | WA | |
| Medical Toxicology (Preventive Medicine) Physician | 2083T0002X | MD00011985 | WA | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | MD00011985 | WA | |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | MD00011985 | WA |
Addresses
Primary practice location
3124 S 19TH St
Ste 110
Tacoma, WA 98405-2433
Mailing address
3124 S 19TH St
Ste 110
Tacoma, WA 98405-2433
Phone (253) 459-7500
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0243571 | Other | WA | STATE L&I |
| 080138473 | Other | WA | RAILROAD |
| 126536 | Other | WA | L & I |
| 154704 | Other | WA | L & I |
| 8936338 | Other | WA | CRIME VICTIMS |
| 8121303 | Medicaid | WA | |
| 080188804 | Other | WA | RAILROAD |
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 |
|---|---|---|---|
| MD00011985 | WA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332374400000",
"number": "1366451825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3124 S 19TH ST",
"address_2": "STE 110",
"city": "TACOMA",
"state": "WA",
"postal_code": "984052433",
"telephone_number": "253-459-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3124 S 19TH ST",
"address_2": "STE 110",
"city": "TACOMA",
"state": "WA",
"postal_code": "984052433",
"telephone_number": "253-459-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERT",
"first_name": "RICHARD",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2012-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00011985",
"primary": true
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "WA",
"license": "MD00011985",
"primary": false
},
{
"code": "2083T0002X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Medical Toxicology",
"state": "WA",
"license": "MD00011985",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "WA",
"license": "MD00011985",
"primary": false
},
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "WA",
"license": "MD00011985",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0243571",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "080138473",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "126536",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "154704",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIMS",
"identifier": "8936338",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8121303",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "080188804",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.