Active NPI
Gregory P Gilman, A.T.
- Athletic Trainer
- Fort Worth, TX
National Provider Identifier
1699794586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT0822
- Practice address
- 1651 W Rosedale
Suite 200
Fort Worth, TX 76104-7437 - Phone
- (817) 810-0001
- Fax
- (817) 810-0054
- NPI assigned
- Jul 19, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT0822 | TX | Primary |
Addresses
Primary practice location
1651 W Rosedale
Suite 200
Fort Worth, TX 76104-7437
Mailing address
PO Box 961205
Fort Worth, TX 76161-1205
Phone (817) 740-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT0822 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317340800000",
"number": "1699794586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 961205",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761611205",
"telephone_number": "817-740-8400",
"fax_number": "817-810-0054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1651 W ROSEDALE",
"address_2": "SUITE 200",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761047437",
"telephone_number": "817-810-0001",
"fax_number": "817-810-0054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMAN",
"first_name": "GREGORY",
"middle_name": "P",
"credential": "A.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2011-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT0822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.