Individual provider Active NPI

Darrell Eugene Gorman, M.D.

  • Internal Medicine Physician
  • Arvada, CO
National Provider Identifier
1740339209
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21534 Issued in CO
Practice address
7950 Kipling St
Suite 100
Arvada, CO 80005-3923
Phone
(303) 431-2100
Fax
(303) 424-9041
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21534 CO Primary

Addresses

Primary practice location

7950 Kipling St
Suite 100
Arvada, CO 80005-3923

Mailing address

7950 Kipling St
Suite 100
Arvada, CO 80005-3923
Phone (303) 431-2100

Other identifiers 1

IdentifierTypeStateIssuer
01215342MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20100908000370 CO Practitioner - Internal Medicine 0143344523 Practice locations: Arvada, CO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21534COMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740339209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 KIPLING ST",
            "address_2": "SUITE 100",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800053923",
            "telephone_number": "303-431-2100",
            "fax_number": "303-424-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 KIPLING ST",
            "address_2": "SUITE 100",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800053923",
            "telephone_number": "303-431-2100",
            "fax_number": "303-424-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "DARRELL",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "21534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01215342",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.