Active NPI
Gary G Gurden, MD
- Neurology Physician
- Muskegon, MI
National Provider Identifier
1437220167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- GG033978
- Practice address
- 957 Brookhaven CT
BLDG F
Muskegon, MI 49442-3890 - Phone
- (855) 231-9662
- Fax
- (231) 903-4284
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | GG033978 | MI | Primary |
Addresses
Primary practice location
957 Brookhaven CT
BLDG F
Muskegon, MI 49442-3890
Mailing address
957 Brookhaven CT
BLDG F
Muskegon, MI 49442-3890
Phone (855) 231-9662
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1430294 | Medicaid | MI |
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 |
|---|---|---|---|
| GG033978 | MI | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Neurology | 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": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400025600000",
"number": "1437220167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "957 BROOKHAVEN CT",
"address_2": "BLDG F",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494423890",
"telephone_number": "855-231-9662",
"fax_number": "231-903-4284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "957 BROOKHAVEN CT",
"address_2": "BLDG F",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494423890",
"telephone_number": "855-231-9662",
"fax_number": "231-903-4284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GURDEN",
"first_name": "GARY",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2014-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "GG033978",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1430294",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.