Gregory Phillips

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

F5328 Issued in TX

Legal business name

GREGORY PHILLIPS

Doing business as

Philips Internal Medicine, PLLC

Practice address

724 Pennsylvania Ave
Fort Worth, TX 76104-2221

Phone

(817) 336-1200

Fax

(817) 338-4707

NPI assigned

Sep 20, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Joseph Phillips, M.D.

Title

President

Phone

(817) 336-1200

Specialties & licenses 1

Addresses

Other names 1

• Philips Internal Medicine, PLLC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1720414881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042221",
            "telephone_number": "817-336-1200",
            "fax_number": "817-338-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042221",
            "telephone_number": "817-336-1200",
            "fax_number": "817-338-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY PHILLIPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-20",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-336-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F5328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Philips Internal Medicine, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maranda Lynn Gregoire
• Mallory McCart Gregorio, AU.D.
• Gregory a Jaryga PC
• Gregory Alan Ellis Dba Gateways of Texas
• Gregory Ellis DDS PC
• Caroline Gregory, DO
• Jasmine Gregory, CPC(PD), RMT
• Joshua Gregory, MD
• William M Gregory, M.D.
• Rachel Elise Gremillion Walkenford, MD

• Internal Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.