Active NPI
Herbert E. Gilmore, MD
- Neurology with Special Qualifications in Child Neurology Physician
- Springfield, MA
National Provider Identifier
1417048547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 70511
- Practice address
- 50 Wason Ave
1St FL
Springfield, MA 01107-1274 - Phone
- (413) 794-0814
- Fax
- (413) 794-7145
- NPI assigned
- Sep 27, 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 70511 | MA | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 70511 | MA | Primary |
Addresses
Primary practice location
50 Wason Ave
1St FL
Springfield, MA 01107-1274
Mailing address
280 Chestnut St
2ND Floor
Springfield, MA 01199-1001
Phone (413) 794-5700
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463616000000",
"number": "1417048547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 CHESTNUT ST",
"address_2": "2ND FLOOR",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011991001",
"telephone_number": "413-794-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 WASON AVE",
"address_2": "1ST FL",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071274",
"telephone_number": "413-794-0814",
"fax_number": "413-794-7145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMORE",
"first_name": "HERBERT",
"middle_name": "E.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2016-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "70511",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "MA",
"license": "70511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.