Individual provider Active NPI

Michael G Gilbert Sr., R.T.(R)(MR)ARRT

  • Magnetic Resonance Imaging Radiologic Technologist
  • Fayetteville, NC
National Provider Identifier
1710752324
Registry record updated Nov 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
License
285866 Issued in NC
Practice address
6455 Kelmscot CT
Fayetteville, NC 28303-5674
Phone
(520) 661-7567
NPI assigned
Nov 24, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 285866 AZ
Magnetic Resonance Imaging Radiologic Technologist 2471M1202X 285866 NC Primary

Addresses

Primary practice location

6455 Kelmscot CT
Fayetteville, NC 28303-5674

Mailing address

6455 Kelmscot CT
Fayetteville, NC 28303-5674
Phone (520) 661-7567

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

LicenseStateTypeSpecialty
285866AZMDBody Imaging Physician
285866NCMDMagnetic Resonance Imaging Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
MGG Imaging Magnetic Resonance Imaging CurrentSince Nov 26, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1700784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1710752324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6455 KELMSCOT CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035674",
            "telephone_number": "520-661-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6455 KELMSCOT CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035674",
            "telephone_number": "520-661-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "name_suffix": "Sr.",
        "credential": "R.T.(R)(MR)ARRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-24",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "AZ",
            "license": "285866",
            "primary": false
        },
        {
            "code": "2471M1202X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "NC",
            "license": "285866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; 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.