Walter L Gadberry, M. D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

19690 Issued in OK

Practice address

1400 Bryan Dr Ste 307
Durant, OK 74701-2158

Phone

(580) 256-2820

Fax

(580) 256-7336

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

General Surgery

Education

Texas a & M University System, HSC, College of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

GPCH LLCGroup PAC ID 0042303232, 14 clinicians

Dallam-Hartley Counties Hospital DistrictGroup PAC ID 0143112805, shared by 6 NPIs, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Golden Plains Community Hospital Hospital, Borger, TX, CCN 451369
• Coon Memorial Hospital Hospital, Dalhart, TX, CCN 451331
• Golden Plains Community Hospital Nursing home, CCN 45Z369

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: walter.gadberry.p1@direct.gpspecialtyclinic.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• GPCH, LLC

  • Critical Access Hospital
  • Borger, TX
  • NPI 1841497153
  Medicare reassignment Care Compare group NPD
• Choctaw County City of Hugo Hospital Authority

  • Rural Acute Care Hospital
  • Hugo, OK
  • NPI 1881689289
  Medicare reassignment NPD
• Ess of South Texas LLC

  • Emergency Medicine Physician
  • Liberty, TX
  • NPI 1295128247
  Medicare reassignment NPD
• GPCH, LLC

  • Geriatric Psychiatry Physician
  • Borger, TX
  • NPI 1205358694
  NPD
• GPCH, LLC

  • Rural Health Clinic/Center
  • Borger, TX
  • NPI 1942898846
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dallam-Hartley Counties Hospital District

  • Critical Access Hospital
  • Dalhart, TX
  • NPI 1639176456
  Care Compare affiliation
• GPCH, LLC

  • Medicare Defined Swing Bed Hospital Unit
  • Borger, TX
  • NPI 1174720130

  Nursing home

  Care Compare affiliation
• GPCH, LLC

  • Geriatric Psychiatry Physician
  • Borger, TX
  • NPI 1205358694

  Hospital

  Care Compare affiliation
• GPCH, LLC

  • Critical Access Hospital
  • Borger, TX
  • NPI 1841497153
  Care Compare affiliation

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1912955626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BRYAN DR. SUITE 307",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "74701",
            "telephone_number": "580-256-2820",
            "fax_number": "580-256-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BRYAN DR STE 307",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012158",
            "telephone_number": "580-256-2820",
            "fax_number": "580-256-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADBERRY",
        "first_name": "WALTER",
        "middle_name": "L",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "19690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100230600A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Friesen
• Chelsea Fromme, WELLNESS COACH
• Jade Fry
• Kelci Leilani Marie Furr
• Cody W. Futrell
• Kenneth Gaffney
• Sabrina Gage, COTA
• Pamela Gallagher
• Sierra Gallagher
• Jeana Garcia

• Surgery Physician in Durant, OK
• Providers in Durant, OK by specialty
• Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.