Organization Active NPI

GBS Diagnostic Services PLLC

  • Orthopaedic Surgery of the Spine Physician
  • Irving, TX
National Provider Identifier
1780275867
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
GBS DIAGNOSTIC SERVICES PLLC
Practice address
6121 N State Highway Ste 225
Irving, TX 75038-2265
Phone
(469) 528-1169
NPI assigned
Feb 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Michelle Gottlieb
Title
Manager
Phone
(469) 528-1169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X Primary

Addresses

Primary practice location

6121 N State Highway Ste 225
Irving, TX 75038-2265

Mailing address

8528 Davis Blvd Ste 134
North Richland Hills, TX 76182-8302
Phone (469) 528-1169

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210503001652 TX Part B Supplier - Clinic/Group Practice 5890100069 Receives reassigned benefits from 1 practitioner
Practice locations: Sherman, TX; Irving, TX; Denton, TX

National Provider Directory

National Provider Directory

Locations

8528 Davis Blvd
Ste 134
North Richlnd Hls, TX 76182
Phone (817) 201-8818

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1780275867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8528 DAVIS BLVD STE 134",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761828302",
            "telephone_number": "469-528-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 N STATE HIGHWAY STE 225",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382265",
            "telephone_number": "469-528-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GBS DIAGNOSTIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-528-1169"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.