Family and Sports Medicine Clinic LLC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

FAMILY AND SPORTS MEDICINE CLINIC LLC

Practice address

321 Rood Ave
Grand Junction, CO 81501-2451

Phone

(970) 243-8524

Fax

(970) 263-8427

NPI assigned

Sep 8, 2008

Last updated

Mar 28, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Julian Robert Gershon Jr., DONPI 1376685222

Title

Owner

Phone

(970) 243-8524

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julian Robert Gershon Jr., D.O.

  • Sports Medicine (Family Medicine) Physician
  • Grand Junction, CO
  • NPI 1376685222
  Authorized official Same address or phone

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1538317169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 ROOD AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012451",
            "telephone_number": "970-243-8524",
            "fax_number": "970-263-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 ROOD AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012451",
            "telephone_number": "970-243-8524",
            "fax_number": "970-263-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AND SPORTS MEDICINE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "GERSHON",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-243-8524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Medicine (Family Medicine) Physician in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Sports Medicine (Family Medicine) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.