Robert Milton Gilliam, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

E2574 Issued in TX

Practice address

4406 N Laurent St
Victoria, TX 77901-2742

Phone

(361) 578-0107

Fax

(361) 578-1320

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• South Texas Eye Associates

  dba South Texas Eye Center

  • Ophthalmology Physician
  • Victoria, TX
  • NPI 1932181641
  Medicare reassignment NPD
• South Texas Eye Surgicenter Inc

  • Ambulatory Surgical Clinic/Center
  • Victoria, TX
  • NPI 1679554349
  Medicare reassignment NPD

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1730122383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4406 N LAURENT ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012742",
            "telephone_number": "361-578-0107",
            "fax_number": "361-578-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4406 N LAURENT ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012742",
            "telephone_number": "361-578-0107",
            "fax_number": "361-578-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "ROBERT",
        "middle_name": "MILTON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "E2574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098147402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GOVERNMENT SUPPLIER NUMBER",
            "identifier": "0880170001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carla Diane Gibbs, PA-C
• Elizabeth Ann Gifford, MT-BC
• Kelli Gill
• Amanda Gilley, FNP-C
• Judith Gilley, FNP
• Leon Ira Gilner, M.D.
• Greg Evans Gips
• Jean G Gisler, FNP
• Chad Everett Glines, DC
• Glory to Glory Counseling, PLLC

• Ophthalmology Physician in Victoria, TX
• Providers in Victoria, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.