Active NPI
Grant Gerner, MD
- General Practice Physician
- Santa Fe, NM
National Provider Identifier
1407924293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 90-196
- Practice address
- 539 Harkle Rd
Suite B
Santa Fe, NM 87505-4782 - Phone
- (505) 795-7735
- Fax
- (505) 795-7732
- NPI assigned
- Dec 1, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 90-196 | NM | |
| General Practice Physician | 208D00000X | 90-196 | NM | Primary |
Addresses
Primary practice location
539 Harkle Rd
Suite B
Santa Fe, NM 87505-4782
Mailing address
539 Harkle Rd
Suite B
Santa Fe, NM 87505-4782
Phone (505) 795-7735
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F9204 | Medicaid | NM | |
| 30154 | Other | NM | LOVELACE |
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 |
|---|---|---|---|
| 90-196 | NM | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Truecare LLC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1407924293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 HARKLE RD",
"address_2": "SUITE B",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054782",
"telephone_number": "505-795-7735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "539 HARKLE RD",
"address_2": "SUITE B",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054782",
"telephone_number": "505-795-7735",
"fax_number": "505-795-7732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERNER",
"first_name": "GRANT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "90-196",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NM",
"license": "90-196",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "F9204",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE",
"identifier": "30154",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.