Active NPI
Gilmore & Gilmore M.D., P.a.
- Dermatology Physician
- Beaumont, TX
National Provider Identifier
1902942709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- F3998
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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 DirectoryLocations
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.