Organization Active NPI

Jeffrey K Gilbertson MD PA

Doing business as Faith Family Practice/OB

  • Family Medicine Physician
  • Graham, TX
National Provider Identifier
1669581435
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JEFFREY K GILBERTSON MD PA
Doing business as
Faith Family Practice/OB
Practice address
1804 State Highway 16 S
Graham, TX 76450-4608
Phone
(940) 549-0039
Fax
(940) 549-0073
NPI assigned
Aug 29, 2006
Last updated
Feb 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Authorized official

Name
Jeffrey K Gilbertson, MDNPI 1134122724
Title
Owner
Phone
(940) 549-0039

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1804 State Highway 16 S
Graham, TX 76450-4608

Mailing address

PO Box 1627
Graham, TX 76450
Phone (940) 549-0039

Other identifiers 1

IdentifierTypeStateIssuer
160576801MedicaidTX

Other names 1

  • Faith Family Practice/OB Doing business as

National Provider Directory

National Provider Directory

Locations

1804 State Highway 16 S
Graham, TX 76450
Phone (940) 549-0039

820 Montgomery Rd
#205
Graham, TX 76450
Phone (940) 521-5353

820 Montgomery Rd
Ste 205
Graham, TX 76450

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1669581435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1627",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "76450",
            "telephone_number": "940-549-0039",
            "fax_number": "940-549-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 STATE HIGHWAY 16 S",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764504608",
            "telephone_number": "940-549-0039",
            "fax_number": "940-549-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY K GILBERTSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "GILBERTSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-549-0039",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160576801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith Family Practice/OB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Graham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.