Gordon Barth, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G3136 Issued in TX

Practice address

508 N Riedel St
Yorktown, TX 78164-1810

Phone

(361) 564-3383

Fax

(361) 564-4224

NPI assigned

Jun 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: gordonbarth@dmdclinic.allscriptsdirect.net

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1710913785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 N RIEDEL ST",
            "city": "YORKTOWN",
            "state": "TX",
            "postal_code": "781641810",
            "telephone_number": "361-564-3383",
            "fax_number": "361-564-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 N RIEDEL ST",
            "city": "YORKTOWN",
            "state": "TX",
            "postal_code": "781641810",
            "telephone_number": "361-564-3383",
            "fax_number": "361-564-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTH",
        "first_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G3136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "8P9303",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170895010",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Dale Denton, D.O.
• Dewitt Dental Professionals
• Dewitt Medical District (Yorktown Nursing and Rehabilitation Center)
• Dewitt Medical District (Yorktown Medical Clinic)
• Diversicare Leasing Corp. (Yorktown Nursing & Rehabilitation Center)

• Family Medicine Physician in Yorktown, TX
• Providers in Yorktown, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.