Individual provider Active NPI

David Rivera Gurley, M.D.

  • Emergency Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1457577751
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
243770 Issued in NY
Practice address
450 Clarkson Ave # 1228
Brooklyn, NY 11203-2056
Phone
(718) 245-4790
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 243770 NY Primary

Addresses

Primary practice location

450 Clarkson Ave # 1228
Brooklyn, NY 11203-2056

Mailing address

450 Clarkson Ave # 1228
Brooklyn, NY 11203-2056
Phone (718) 245-4790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA, OH, IN, IL, MI, FL7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20070815000428 NY Practitioner - Emergency Medicine 1355433780 Reassigns benefits to 1 organization
I20220317000912 MA Practitioner - Emergency Medicine 1355433780 Reassigns benefits to 1 organization
I20220916003014 OH Practitioner - Emergency Medicine 1355433780 Reassigns benefits to 1 organization
I20231214000872 IN Practitioner - Emergency Medicine 1355433780 Reassigns benefits to 1 organization
I20240322002015 IL Practitioner - Emergency Medicine 1355433780 Reassigns benefits to 1 organization
I20250402003068 MI Practitioner - Emergency Medicine 1355433780 Reassigns benefits to 1 organization
I20260417001210 FL Practitioner - Emergency Medicine 1355433780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

495 Flatbush Ave
Suite C5
Brooklyn, NY 11225-3706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Dec 1, 2021 Accepting new patients
Cityblock Medical Practice, P.a. CurrentSince Jan 1, 2023 Accepting new patients
Cityblock Medical Practice, LLC CurrentSince Sep 1, 2022 Accepting new patients
Advantagecare Physicians PC CurrentSince Dec 1, 2021 Accepting new patients
Cityblock Medical Practice NC, P.C. PastSince Sep 1, 2019 Accepting new patients

Locations

15416 N Florida Ave
Ste 203
Tampa, FL 33613
Phone (347) 463-5529

16115 La Salle St
South Holland, IL 60473
Phone (347) 463-5529

155 Federal St
Ste 700
Boston, MA 02110
Phone (469) 466-7420

100 Grove St
Ste 115
Worcester, MA 01605
Phone (347) 463-5529

186 N Main St
Fl 2
Plymouth, MI 48170
Phone (248) 602-3303

4444 The Plaza
Charlotte, NC 28215
Phone (336) 360-2407

1840 Owen Dr
Ste 105
Fayetteville, NC 28304
Phone (630) 957-8536

1439 E Cone Blvd
Greensboro, NC 27405
Phone (336) 375-6104

624 Quaker Ln
Ste C200
High Point, NC 27262
Phone (336) 887-3164

3333 Brookview Hills Blvd
Winston Salem, NC 27103
Phone (336) 765-1464

55 Water St
#4C
Brooklyn, NY 11201
Phone (917) 718-2063

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (215) 588-1676

546 Eastern Pkwy
Brooklyn, NY 11225
Phone (718) 604-4800

495 Flatbush Ave
Brooklyn, NY 11225
Phone 80033611001

800 N High St
Ste 4102
Columbus, OH 43215
Phone (347) 463-5529

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
  • Direct secure messaging: david.gurley.1@27775.direct.athenahealth.com

Organizations & group practices 5

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251849600000",
    "number": "1457577751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE # 1228",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032056",
            "telephone_number": "718-245-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE # 1228",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032056",
            "telephone_number": "718-245-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURLEY",
        "first_name": "DAVID",
        "middle_name": "RIVERA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2009-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "243770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.