NPIMap

Organization Active NPI

Gilbreth Family Medicine, PLLC

  • Medical Specialty Clinic/Center
  • Duncan, OK
National Provider Identifier
1689843997
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
19187 Issued in OK
Legal business name
GILBRETH FAMILY MEDICINE, PLLC
Practice address
2434 Harville Rd
Suite 101
Duncan, OK 73533
Phone
(580) 252-1918
Fax
(580) 252-2333
NPI assigned
Feb 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Authorized official

Name
Dr. Judith M Gilbreth, M.D.NPI 1407823982
Title
Owner/Manager
Phone
(580) 252-1918

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 19187 OK Primary

Addresses

Primary practice location

2434 Harville Rd
Suite 101
Duncan, OK 73533

Mailing address

2434 Harville Rd
Suite 101
Duncan, OK 73533
Phone (580) 252-1918

Other identifiers 3

IdentifierTypeStateIssuer
100170200COtherOKMEDICAID/SOONERCARE
467450776003OtherOKBLUE CROSS BLUE SHIELD
100170200DOtherOKMEDICAID/SOONERCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081014000292 OK Part B Supplier - Clinic/Group Practice 3274601521 Receives reassigned benefits from 1 practitioner
Practice locations: Duncan, OK

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21452/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1689843997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 HARVILLE RD",
            "address_2": "SUITE 101",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "73533",
            "telephone_number": "580-252-1918",
            "fax_number": "580-252-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 HARVILLE RD",
            "address_2": "SUITE 101",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "73533",
            "telephone_number": "580-252-1918",
            "fax_number": "580-252-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBRETH FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "GILBRETH",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "580-252-1918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OK",
            "license": "19187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID/SOONERCARE",
            "identifier": "100170200C",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "467450776003",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID/SOONERCARE",
            "identifier": "100170200D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.