Individual provider Active NPI

Gary B Mangold, M.D.

  • Family Medicine Physician
  • Lockney, TX
National Provider Identifier
1376548362
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E6135 Issued in TX
Practice address
320 N Main
Lockney, TX 79241-0037
Phone
(806) 652-3373
Fax
(806) 652-2417
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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 E6135 TX Primary

Addresses

Primary practice location

320 N Main
Lockney, TX 79241-0037

Mailing address

PO Box 37
Lockney, TX 79241-0037
Phone (806) 652-3373

Other identifiers 2

IdentifierTypeStateIssuer
110500901MedicaidTX
1105000903MedicaidTX

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
I20081031000289 TX Practitioner - Family Practice 9537228853 Reassigns benefits to 1 organization
Practice locations: Lockney, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lockney General Hospital DistrictGroup PAC ID 4880504968, 5 clinicians

Practice addresses (Care Compare)

PO Box
Suite 37
Lockney, TX 79241

Hospital & facility affiliations

  • Accentcare Health Home health agency, Lubbock, TX, CCN 679485
  • W J Mangold Memorial Hospital Hospital, Lockney, TX, CCN 451337
  • Covenant Childrens Hospital Hospital, Lubbock, TX, CCN 453306

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E6135TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lockney General Hospital District CurrentSince Jan 1, 2026 Accepting new patients
Lockney General Hospital District CurrentSince Jan 1, 2026 Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1376548362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "LOCKNEY",
            "state": "TX",
            "postal_code": "792410037",
            "telephone_number": "806-652-3373",
            "fax_number": "806-652-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N MAIN",
            "city": "LOCKNEY",
            "state": "TX",
            "postal_code": "792410037",
            "telephone_number": "806-652-3373",
            "fax_number": "806-652-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGOLD",
        "first_name": "GARY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E6135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110500901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1105000903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockney, TX

Sources for this page

Verify at the official NPI Registry.