Stephen David Gelfond, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

E9653 Issued in TX

Practice address

Brooke Army Medical Center
3551 Roger Brooke Dr. McHe- ZQQ
Jbsa Fort Sam Houston,, TX 78234-4504

Phone

(210) 915-5503

NPI assigned

Jun 8, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 29, 2012 through May 29, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1467456426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BROOKE ARMY MEDICAL CENTER",
            "address_2": "3551 ROGER BROOKE DR. MCHE- ZQQ",
            "city": "JBSA FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BROOKE ARMY MEDICAL CENTER",
            "address_2": "3551 ROGER BROOKE DR. MCHE- ZQQ",
            "city": "JBSA FORT SAM HOUSTON,",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-915-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELFOND",
        "first_name": "STEPHEN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "E9653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0977399-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "260049941",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mauricio Jonas Farinacci, MD
• Victoria Fernandes, MD
• Nicholas Pierre Fethiere, MD
• Lon Alan Fry, D.O.
• John C Gallik, IDMT
• Jamie Geringer, D.O
• Jordan Heath Gipson, M.D.
• Cynthia Natalia Giraldo, M.D.
• Brody Harn
• Margaret Ngoc-Bao Ho

• Psychiatry Physician in Jbsa Fort Sam Houston,, TX
• Providers in Jbsa Fort Sam Houston,, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.