Active NPI
Jonathan David Gambrell, M.D.
- Ophthalmology Physician
- Louisville, KY
National Provider Identifier
1831326552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 47120
- Practice address
- 3810 Springhurst Blvd
Louisville, KY 40241-6100 - Phone
- (502) 897-9881
- NPI assigned
- Jun 20, 2009
- Last updated
- Jan 26, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Ophthalmology Physician | 207W00000X | 01072743A | IN | |
| Ophthalmology Physician | 207W00000X | 47120 | KY | Primary |
Addresses
Primary practice location
3810 Springhurst Blvd
Louisville, KY 40241-6100
Mailing address
3810 Springhurst Blvd
Louisville, KY 40241-6100
Phone (502) 897-9881
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 |
|---|---|---|---|
| 47120 | KY | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422230400000",
"number": "1831326552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3810 SPRINGHURST BLVD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402416100",
"telephone_number": "502-897-9881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 SPRINGHURST BLVD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402416100",
"telephone_number": "502-897-9881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBRELL",
"first_name": "JONATHAN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-20",
"last_updated": "2015-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IN",
"license": "01072743A",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "KY",
"license": "47120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.