Charles J Gormley II, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

55464 Issued in MA

Practice address

531 Faunce Corner Rd
Dartmouth, MA 02747-1242

Phone

(508) 996-3991

NPI assigned

Oct 4, 2005

Last updated

Feb 14, 2018By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hawthorn Medical Associates, LLC

  • Adult Health Nurse Practitioner
  • North Dartmouth, MA
  • NPI 1508825811
  NPD (past)
• Southcoast Physicians Group, Inc.

  • Family Medicine Physician
  • Fairhaven, MA
  • NPI 1336137629
  NPD (past)
• Southcoast Primary Care Inc

  • Family Medicine Physician
  • Mattapoisett, MA
  • NPI 1891783189
  NPD (past)

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1558358671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 FAUNCE CORNER RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027471242",
            "telephone_number": "508-996-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 FAUNCE CORNER RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027471242",
            "telephone_number": "508-996-3991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 State Rd",
            "address_2": "Nauset Bldg",
            "address_purpose": "LOCATION",
            "city": "N Dartmouth",
            "state": "MA",
            "postal_code": "027473322",
            "country_code": "US",
            "telephone_number": "508-991-2255",
            "fax_number": "508-999-0387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORMLEY",
        "first_name": "CHARLES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "55464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3007634",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Cynthia Gnazzo, N.P.
• Jaelyn Gomes
• Marly J Gomes, DMD
• Rainelle Gomes, LCSW
• Justine Lynn Gordon
• Kerry P Gowell, M.D.
• Geena Goyette, M.S. CCC-SLP
• Maureen E Graca, PT
• Jessica Granda
• Henry Gerrard Joseph Gravel Jr., MD

• Family Medicine Physician in Dartmouth, MA
• Providers in Dartmouth, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.