Brian Christopher Gullett, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

2218 Issued in WV

Practice address

343 Adamik Rd
Clarksville, PA 15322-7395

Phone

(724) 413-9923

NPI assigned

Jan 17, 2007

Last updated

Nov 24, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: prov-_brian_c_gullett@yourcarecommunity.org

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1366594525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 ADAMIK RD",
            "city": "CLARKSVILLE",
            "state": "PA",
            "postal_code": "153227395",
            "telephone_number": "724-413-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 ADAMIK RD",
            "city": "CLARKSVILLE",
            "state": "PA",
            "postal_code": "153227395",
            "telephone_number": "724-413-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLETT",
        "first_name": "BRIAN",
        "middle_name": "CHRISTOPHER",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WV",
            "license": "2218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Suzette Bates, NP-C
• John Brandstetter
• Clarksville & Community Volunteer Fire Department
• Clarksville Ambulance Service
• Journey to Healing Counseling Associates, LLC
• Tracy Pekar, RN
• Precious Moments Personal Care Home, Inc. (McDaniels Personal Care Home)
• Richardson's Clarksville Resthome
• Kristin Smith, D.O.

• General Practice Physician in Clarksville, PA
• Providers in Clarksville, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.