Gregory H Van Gelderen, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

BV6652502 Issued in FL

Practice address

2101 Elm St N
Emergency Department
Fargo, ND 58102-2417

Phone

(701) 239-3700

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Belle Glade Emergency Physicians LLC

  • Emergency Medicine Physician
  • Belle Glade, FL
  • NPI 1083631774
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1649238122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 ELM STREET NORTH",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581028707",
            "telephone_number": "701-239-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 ELM ST N",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581022417",
            "telephone_number": "701-239-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN GELDEREN",
        "first_name": "GREGORY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "BV6652502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Van Dam Chiropractic, PC
• Scott A Van Dam, DC
• Brittany Van Der Watt, MSW, LGSW
• Allison Van Dyke, MS
• Caitlin Nicole Van Dyke, MD
• Rebecca Van Hal
• Michael Sanford Van Scoy
• Staci L Van Vleet
• McKenna Renee Van Winkle
• Hope Louise Bernice Vanburen, MD

• Emergency Medicine Physician in Fargo, ND
• Providers in Fargo, ND by specialty
• Emergency Medicine Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.