GPCH, LLC
Organization Active NPI Sports Medicine (Orthopaedic Surgery) Physician · Borger, TX
NPI 1649790940 · NPPES record last updated Aug 7, 2024
Key facts
- NPI
- 1649790940
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X
- Legal business name
- GPCH, LLC
- Practice address
- 50 Medical Dr
Ste 300
Borger, TX 79007-4406 - Phone
- (806) 467-5350
- Fax
- (806) 275-9282
- NPI assigned
- Jun 27, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- GPCH, LLC
Authorized official
- Name
- Dr. Donald Earl Bates Jr.
- Title
- Ceo
- Phone
- (806) 467-5700
Other NPIs on the same Medicare enrollment 9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090311000280 | TX | Part B Supplier - Clinic/Group Practice | 0042303232 |
Receives reassigned benefits from 37 practitioners 12 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Borger, TX; Fritch, TX; Missouri City, TX |
National Provider Directory
- Part of
- GPCH LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician |
207XX0005X | Yes |
Addresses
Primary practice location
50 Medical Dr
Ste 300
Borger, TX 79007-4406
Mailing address
100 Medical Dr
Borger, TX 79007-7579
Phone (806) 467-5350
Other names
- Orthopedic Specialty Clinic
Other providers in Borger, TX
- GPCH, LLC
- GPCH, LLC
- GPCH, LLC
- GPCH, LLC
- GPCH, LLC
- GPCH, LLC
- GPCH, LLC
- GPCH, LLC
- Gray Chiropractic PLLC
- Randy Scott Gray
All providers in Borger, TX · Sports Medicine (Orthopaedic Surgery) Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.