Gary L Gilcrease MD, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K9069 Issued in TX

Legal business name

GARY L GILCREASE MD, PA

Doing business as

Gilcrease Medical Group

Practice address

135 Bunton Creek Rd Ste 102
Kyle, TX 78640-5701

Phone

(512) 268-2091

Fax

(512) 268-2190

NPI assigned

Aug 10, 2007

Last updated

Feb 23, 2022By 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. Gary L Gilcrease, MD, PA

Title

MD, President, Owner

Phone

(512) 268-2091

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Gilcrease Medical Group Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Mireya Martinez, APRN, FNP-C

  • Family Nurse Practitioner
  • Austin, TX
  • NPI 1982283321
  NPD

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1568654887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 BUNTON CREEK RD STE 102",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786405701",
            "telephone_number": "512-268-2091",
            "fax_number": "512-268-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 BUNTON CREEK RD STE 102",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786405701",
            "telephone_number": "512-268-2091",
            "fax_number": "512-268-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L GILCREASE MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "GILCREASE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD, PRESIDENT, OWNER",
        "authorized_official_telephone_number": "512-268-2091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K9069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "K9069",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144784901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gilcrease Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexa Nicole Garcia
• Jose Domingo Garcia, FNP
• Siobahn Rachel Garcia, LMFT-ASSOCIATE
• Stephanie Garcia
• Rachel Gardner, MD
• Ingrid Dariela Garza Moyeda
• Gloria Garza
• Gastromedconnect, PLLC
• Steven Wayne Gay Jr., ANP
• Marshall Alexander George, PHARMD

• Family Medicine Physician in Kyle, TX
• Providers in Kyle, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.