Active NPI
Gary T Whitlock, M.D.
- Emergency Medicine Physician
- New Bern, NC
National Provider Identifier
1508998790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 24331
- Practice address
- 1309 Tatum Dr
New Bern, NC 28560-4314 - Phone
- (252) 672-8742
- Fax
- (252) 638-3742
- NPI assigned
- Mar 12, 2007
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 24331 | NC | Primary |
Addresses
Primary practice location
1309 Tatum Dr
New Bern, NC 28560-4314
Mailing address
4300 Sapphire CT
Ste. 110
Greenville, NC 27834-9019
Phone (252) 830-7561
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24331 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1508998790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 SAPPHIRE CT",
"address_2": "STE. 110",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278349019",
"telephone_number": "252-830-7561",
"fax_number": "252-413-0932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 TATUM DR",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285604314",
"telephone_number": "252-672-8742",
"fax_number": "252-638-3742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITLOCK",
"first_name": "GARY",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "24331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.