Active NPI
Gary Brian Southerland, DDS
- Dentist
- Temple, TX
National Provider Identifier
1487658134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 15454
- Practice address
- 1910 Birdcreek Dr
Temple, TX 76502-1001 - Phone
- (254) 773-6373
- Fax
- (254) 773-6582
- NPI assigned
- Jun 10, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 15454 | TX | Primary |
Addresses
Primary practice location
1910 Birdcreek Dr
Temple, TX 76502-1001
Mailing address
1910 Birdcreek Dr
Temple, TX 76502-1001
Phone (254) 773-6373
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 31, 2015 through Dec 31, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15454 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1487658134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 BIRDCREEK DR",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765021001",
"telephone_number": "254-773-6373",
"fax_number": "254-773-6582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 BIRDCREEK DR",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765021001",
"telephone_number": "254-773-6373",
"fax_number": "254-773-6582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTHERLAND",
"first_name": "GARY",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "15454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.