Active NPI
Don J Gilbert, DPM
- Primary Podiatric Medicine Podiatrist
- Pocatello, ID
National Provider Identifier
1891920476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- P64
- Practice address
- 1555 E Clark St
Pocatello, ID 83201-4133 - Phone
- (208) 233-4355
- Fax
- (208) 233-7198
- NPI assigned
- May 26, 2009
- 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 |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | P64 | ID | Primary |
Addresses
Primary practice location
1555 E Clark St
Pocatello, ID 83201-4133
Mailing address
1555 E Clark St
Pocatello, ID 83201-4133
Phone (208) 233-4355
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P64 | ID | MD | Primary Podiatric Medicine Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243296000000",
"number": "1891920476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 E CLARK ST",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832014133",
"telephone_number": "208-233-4355",
"fax_number": "208-233-7198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 E CLARK ST",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832014133",
"telephone_number": "208-233-4355",
"fax_number": "208-233-7198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERT",
"first_name": "DON",
"middle_name": "J",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-26",
"last_updated": "2009-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "ID",
"license": "P64",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.