Shane Gilley

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

Msoag
BLDG 202
Camp Lejeune, NC 28540

Phone

(910) 449-9264

NPI assigned

Dec 26, 2007

Last updated

Dec 26, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198627200000",
    "number": "1447434501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 CLAUDIA CT",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285403302",
            "telephone_number": "224-627-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MSOAG",
            "address_2": "BLDG 202",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "28540",
            "telephone_number": "910-449-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLEY",
        "first_name": "SHANE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shultz James Gift, MS, LCAS, LCMHC-A,
• Laura Jean Gilbert, M.D.
• Thomas James Gillcrist, DDS
• Brian Michael Gillen, D.D.S.
• John William Gillespie, MD
• Steven Glerum, MD
• Robert Glincosky, MPAS PA-C
• Robert Jay Goldin, MD
• Laura Grace Goldsmith, DO
• Brianna Marie Gomez, IDC

• Independent Duty Corpsman in Camp Lejeune, NC
• Providers in Camp Lejeune, NC by specialty
• Independent Duty Corpsman in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.