Active NPI
Gaylon Albert Gonzales, MD
- Surgery Physician
- Beaumont, TX
National Provider Identifier
1760558100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- F1590
- Practice address
- 2900 North Street
Suite 203
Beaumont, TX 77702 - Phone
- (409) 899-1547
- Fax
- (409) 899-2174
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | F1590 | TX | Primary |
Addresses
Primary practice location
2900 North Street
Suite 203
Beaumont, TX 77702
Mailing address
2900 North Street
Suite 203
Beaumont, TX 77702
Phone (409) 899-1547
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F1590 | TX | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760558100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 NORTH STREET",
"address_2": "SUITE 203",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "77702",
"telephone_number": "409-899-1547",
"fax_number": "409-899-2174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 NORTH STREET",
"address_2": "SUITE 203",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "77702",
"telephone_number": "409-899-1547",
"fax_number": "409-899-2174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "GAYLON",
"middle_name": "ALBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "F1590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.