Organization Active NPI

Gerard P Champaloux MD

  • Family Medicine Physician
  • Bowie, MD
National Provider Identifier
1417067216
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GERARD P CHAMPALOUX MD
Practice address
14300 Gallant Fox Lane
Suite 110
Bowie, MD 20715-4031
Phone
(301) 262-6797
Fax
(301) 262-2564
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Authorized official

Name
Gerard ChampalouxNPI 1205938305
Title
Doctor
Phone
(301) 262-6296

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

14300 Gallant Fox Lane
Suite 110
Bowie, MD 20715-4031

Mailing address

14300 Gallant Fox Lane
Suite 110
Bowie, MD 20715-4031
Phone (301) 262-6797

Other identifiers 1

IdentifierTypeStateIssuer
784741600MedicaidMD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1417067216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 GALLANT FOX LANE",
            "address_2": "SUITE 110",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154031",
            "telephone_number": "301-262-6797",
            "fax_number": "301-262-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 GALLANT FOX LANE",
            "address_2": "SUITE 110",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154031",
            "telephone_number": "301-262-6797",
            "fax_number": "301-262-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERARD P CHAMPALOUX MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "CHAMPALOUX",
        "authorized_official_first_name": "GERARD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "301-262-6296"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "784741600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.