Active NPI
Deitrich Gerlt, DO
- Internal Medicine Physician
- Dallas, TX
National Provider Identifier
1497509384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- BP10089114
- Practice address
- 1441 N. Beckley Avenue (Methodist Dallas Med Ctr Gme)
5TH Floor, East BLDG.
Dallas, TX 75203 - Phone
- (214) 947-8181
- NPI assigned
- Apr 16, 2024
- Last updated
- Apr 16, 2024
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | BP10089114 | TX | Primary |
Addresses
Primary practice location
1441 N. Beckley Avenue (Methodist Dallas Med Ctr Gme)
5TH Floor, East BLDG.
Dallas, TX 75203
Mailing address
1441 N. Beckley Avenue (Methodist Dallas Med Ctr Gme)
5TH Floor, East BLDG.
Dallas, TX 75203
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10089114 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1497509384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 N. BECKLEY AVENUE (METHODIST DALLAS MED CTR GME)",
"address_2": "5TH FLOOR, EAST BLDG.",
"city": "DALLAS",
"state": "TX",
"postal_code": "75203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 N. BECKLEY AVENUE (METHODIST DALLAS MED CTR GME)",
"address_2": "5TH FLOOR, EAST BLDG.",
"city": "DALLAS",
"state": "TX",
"postal_code": "75203",
"telephone_number": "214-947-8181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERLT",
"first_name": "DEITRICH",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-16",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "BP10089114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.