Organization Active NPI

Gilmore & Gilmore M.D., P.a.

  • Dermatology Physician
  • Beaumont, TX
National Provider Identifier
1902942709
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
F3998 Issued in TX
Legal business name
GILMORE & GILMORE M.D., P.A.
Practice address
3110 Fannin St
Beaumont, TX 77701-3902
Phone
(409) 833-7458
Fax
(409) 835-0553
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William A Gilmore II, M.D.
Title
President
Phone
(409) 833-7458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X F3998 TX Primary

Addresses

Primary practice location

3110 Fannin St
Beaumont, TX 77701-3902

Mailing address

3110 Fannin St
Beaumont, TX 77701-3902
Phone (409) 833-7458

National Provider Directory

National Provider Directory

Locations

3110 Fannin St
Beaumont, TX 77701
Phone (409) 833-7458

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902942709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 FANNIN ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013902",
            "telephone_number": "409-833-7458",
            "fax_number": "409-835-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 FANNIN ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013902",
            "telephone_number": "409-833-7458",
            "fax_number": "409-835-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILMORE & GILMORE M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-833-7458",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "F3998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.