Active NPI
Eugene Frank Guerre Jr., MD
- Gynecology Physician
- Brooksville, FL
National Provider Identifier
1720043375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- ME72863
- Practice address
- 7005 Nightwalker Rd
Brooksville, FL 34613-6349 - Phone
- (352) 597-7700
- Fax
- (352) 597-9951
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | ME72863 | FL | Primary |
Addresses
Primary practice location
7005 Nightwalker Rd
Brooksville, FL 34613-6349
Mailing address
7005 Nightwalker Rd
Brooksville, FL 34613-6349
Phone (352) 597-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252924600 | Medicaid | FL |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME72863 | FL | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256083200000",
"number": "1720043375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7005 NIGHTWALKER RD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346136349",
"telephone_number": "352-597-7700",
"fax_number": "352-597-9951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7005 NIGHTWALKER RD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346136349",
"telephone_number": "352-597-7700",
"fax_number": "352-597-9951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRE",
"first_name": "EUGENE",
"middle_name": "FRANK",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2009-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "FL",
"license": "ME72863",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252924600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.