Active NPI
Brian Joseph Gebhardt, M.D.
- Radiation Oncology Physician
- Vincennes, IN
National Provider Identifier
1669816807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 01080620A
- Practice address
- 520 S 7TH St
Vincennes, IN 47591 - Phone
- (882) 812-5220
- NPI assigned
- Apr 18, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 573273 | TX | |
| Radiation Oncology Physician | 2085R0001X | 01080620A | IN | Primary |
Addresses
Primary practice location
520 S 7TH St
Vincennes, IN 47591
Mailing address
520 S 7TH St
Vincennes, IN 47591-1038
Phone (812) 882-5220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Medical College of Georgia School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
520 S 7TH St
Vincennes, IN 47591-1038
Phone (812) 885-3280
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01080620A | IN | MD | Radiation Oncology Physician |
| 573273 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Hospital Physician Services, Inc | Current | Accepting new patients | |
| Good Samaritan Hospital | Current | Accepting new patients | |
| Good Samaritan Hospital Physician Services Inc. | Radiation Oncology | Past | Accepting new patients |
Locations
520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280
1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064
Organizations & group practices 3
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.
-
- Hospitalist Physician
- Vincennes, IN
- NPI 1649432071
-
- Rural Health Clinic/Center
- Vincennes, IN
- NPI 1760145973
-
- Radiation Oncology Physician
- Vincennes, IN
- NPI 1629050646
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, IN
- NPI 1861465999
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Vincennes, IN
- NPI 1073153474
Hospital
-
- General Acute Care Hospital
- Vincennes, IN
- NPI 1225032881
-
- Critical Access Hospital
- Robinson, IL
- NPI 1265493720
-
- Critical Access Hospital
- Olney, IL
- NPI 1467492124
-
- Critical Access Hospital
- Mount Carmel, IL
- NPI 1194728808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534723200000",
"number": "1669816807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 S 7TH ST",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475911038",
"telephone_number": "812-882-5220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S 7TH ST",
"city": "VINCENNES",
"state": "IN",
"postal_code": "47591",
"telephone_number": "882-812-5220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEBHARDT",
"first_name": "BRIAN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-18",
"last_updated": "2018-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TX",
"license": "573273",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "IN",
"license": "01080620A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vincennes, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.