Active NPI
Jeffrey K Gilbertson MD PA
Doing business as Faith Family Practice/OB
- Family Medicine Physician
- Graham, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey K Gilbertson, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160576801 | Medicaid | TX |
Other names 1
- Faith Family Practice/OB
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Graham, TX
- NPI 1134122724
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.