Individual provider Active NPI

Terry R Gerard II, DO

  • Family Medicine Physician
  • Durant, OK
National Provider Identifier
1790739019
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4190 Issued in OK
Practice address
1400 Bryan Dr Ste 201
Durant, OK 74701-2157
Phone
(580) 924-5500
Fax
(580) 924-1991
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4190 OK Primary

Addresses

Primary practice location

1400 Bryan Dr Ste 201
Durant, OK 74701-2157

Mailing address

1400 Bryan Dr Ste 201
Durant, OK 74701-2157
Phone (580) 924-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20051230000420 OK Practitioner - Family PracticePractitioner - Emergency Medicine 1850311077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Durant Family Medicine Clinic, IncGroup PAC ID 4082624242, 3 clinicians

Practice addresses (Care Compare)

1400 Bryan Dr
Suite 201
Durant, OK 74701-2157
Phone (580) 924-5500

Hospital & facility affiliations

  • Mays Housecall Home Health of Durant Home health agency, Durant, OK, CCN 377748
  • Centric Home Health Home health agency, Durant, OK, CCN 377791
  • Alliancehealth Durant Hospital, Durant, OK, CCN 370014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4190OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Durant Family Medicine Clinic, Inc Family Medicine CurrentSince Dec 1, 2017 Accepting new patients
Wichita Emergency Physicians Past Accepting new patients
South Central Emergency Services PC Past Accepting new patients
Durant Hma LLC Past Accepting new patients
Genesis Emergency Medicine Services LLC Past Accepting new patients

Locations

1400 Bryan Dr
Ste 201
Durant, OK 74701
Phone (580) 924-4704

1600 W University Blvd
Durant, OK 74701
Phone (580) 740-0205

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBEIAA

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1790739019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BRYAN DR STE 201",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012157",
            "telephone_number": "580-924-5500",
            "fax_number": "580-924-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BRYAN DR STE 201",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012157",
            "telephone_number": "580-924-5500",
            "fax_number": "580-924-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERARD",
        "first_name": "TERRY",
        "middle_name": "R",
        "name_suffix": "II",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

Verify at the official NPI Registry.