Active NPI
Gary Lee Crawley, M.D.
- Psychiatry Physician
- Brooksville, FL
National Provider Identifier
1407855851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME 88269
- Practice address
- 15311 Cortez Blvd
Brooksville, FL 34613-6005 - Phone
- (352) 540-9335
- Fax
- (352) 544-0722
- NPI assigned
- Jul 19, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME 88269 | FL | Primary |
Addresses
Primary practice location
15311 Cortez Blvd
Brooksville, FL 34613-6005
Mailing address
P O Box 428
New Port Richey, FL 34656
Phone (352) 540-9335
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001444700 | Medicaid | FL | |
| 269289900 | Medicaid | FL |
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 |
|---|---|---|---|
| ME 88269 | FL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433203200000",
"number": "1407855851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 428",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "34656",
"telephone_number": "352-540-9335",
"fax_number": "352-544-0722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15311 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346136005",
"telephone_number": "352-540-9335",
"fax_number": "352-544-0722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWLEY",
"first_name": "GARY",
"middle_name": "LEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2015-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME 88269",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001444700",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269289900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooksville, FL
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- John Crognale, PA
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.