Gregory Gerald Gardner, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J4814 Issued in TX

Practice address

3304 SE Loop 820 Ste B
Fort Worth, TX 76140-1113

Phone

(214) 616-4892

Fax

(817) 984-1857

NPI assigned

Jul 24, 2006

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

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Acs Primary Care Physicians Southwest, PA

  • Emergency Medicine Physician
  • Gainesville, TX
  • NPI 1538101019

  Family Medicine

  NPD (past)
• Chandor Emergency Physicians

  • Emergency Medicine Physician
  • Weatherford, TX
  • NPI 1780872796
  NPD (past)
• Complete Emergency Care Southlake LLC

  • Emergency Care Clinic/Center
  • Southlake, TX
  • NPI 1174937668
  NPD (past)
• Cowboy Capital Emergency Physicians

  • Emergency Medicine Physician
  • Stephenville, TX
  • NPI 1700839172
  NPD (past)
• Motley Emergency Physicians

  • Emergency Medicine Physician
  • Mesquite, TX
  • NPI 1972558401
  NPD (past)
• Texas Em-1 Medical Services PA

  • Emergency Medicine Physician
  • Mesquite, TX
  • NPI 1659446193
  NPD (past)
• Texas Em-1 Medical Services, PA

  • Physician Assistant
  • Mesquite, TX
  • NPI 1295780757
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1528080744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 SE LOOP 820 STE B",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761401113",
            "telephone_number": "214-616-4892",
            "fax_number": "817-984-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 SE LOOP 820 STE B",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761401113",
            "telephone_number": "214-616-4892",
            "fax_number": "817-984-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "GREGORY",
        "middle_name": "GERALD",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J4814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvette Garcia, LPC-ASSOCIATE
• Andrea Nicole Garcie, NP
• Jacqueline Laboe Garda, DO
• Bailey Gardner, SLP
• Elaine M Gardner, PNP
• Hannah Brooks Gardner, CRNA
• Kimberley Gardner, NURSE PRACTITIONER
• Lauren Elizabeth Gardner, DO
• Lisa L Gardner, DO
• Michael Lee Gardner, LPC

• All providers in Fort Worth, TX
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.