NPIMap

Organization Active NPI

Gilbert K Crane MD

  • Specialist
  • Burley, ID
National Provider Identifier
1710188859
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
M5867 Issued in ID
Legal business name
GILBERT K CRANE MD
Practice address
1263 Bennett Ave Ste 1
Burley, ID 83318-2666
Phone
(208) 678-9760
Fax
(208) 678-9758
NPI assigned
May 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gilbert K Crane, MDNPI 1679556799
Title
Owner
Phone
(208) 678-9760

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
Specialist 174400000X M5867 ID Primary

Addresses

Primary practice location

1263 Bennett Ave Ste 1
Burley, ID 83318-2666

Mailing address

499 Riverside Dr
Burley, ID 83318-5419
Phone (208) 678-9760

National Provider Directory

National Provider Directory

Locations

1263 Bennett Ave
Ste 1
Burley, ID 83318
Phone (208) 678-9760

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": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710188859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 RIVERSIDE DR",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833185419",
            "telephone_number": "208-678-9760",
            "fax_number": "208-678-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 BENNETT AVE STE 1",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182666",
            "telephone_number": "208-678-9760",
            "fax_number": "208-678-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERT K CRANE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRANE",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-678-9760",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ID",
            "license": "M5867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burley, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.