Jerald Craig Gifford

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CPO2599 Issued in TN

Practice address

1411 Mark Allen LN Ste G
Murfreesboro, TN 37129-5556

Phone

(662) 871-7270

Fax

(844) 414-0376

NPI assigned

Jan 17, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1851837652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 MARK ALLEN LN STE G",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371295556",
            "telephone_number": "662-871-7270",
            "fax_number": "844-414-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 MARK ALLEN LN STE G",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371295556",
            "telephone_number": "662-871-7270",
            "fax_number": "844-414-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIFFORD",
        "first_name": "JERALD",
        "middle_name": "CRAIG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "TN",
            "license": "ORT0000000099",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TN",
            "license": "PRO0000000077",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TN",
            "license": "CPO2599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Gibbs, LMT
• Jessica S Gibbs, M.D.
• Amanda Gibson, MA, LPC-MHSP, NCC
• Danielle Rose Gibson
• Mara Gibson, PHARMD
• Robert Chase Gifford
• Erika M Gilbert, CRNA
• Karen T Gilbert, LCSW
• Stacy Kathleen Gilbert, AGNP
• Whitney Giles-Paul, DDS

• Prosthetic/Orthotic Supplier in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Prosthetic/Orthotic Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.