David E Gorman, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

79029 Issued in MT

Practice address

2651 South Ave W
Village Healtlh Care Center
Missoula, MT 59804-6405

Phone

(406) 728-7388

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• David E Ryan-Gorman Former name

Medicare fee-for-service enrollment

Enrolled in MT

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cogent Healthcare of Montana P C

  • Internal Medicine Physician
  • Missoula, MT
  • NPI 1053569525

  Family Medicine

  Medicare reassignment NPD
• Hestia in-Home Support LLC

  • Family Nurse Practitioner
  • Missoula, MT
  • NPI 1619325016

  Family Medicine

  Medicare reassignment NPD
• Providence Health & Services Mt

  • Pulmonary Disease Physician
  • Missoula, MT
  • NPI 1427096585
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1922029479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 SOUTH AVE W",
            "address_2": "VILLAGE HEALTH CARE CENTER",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598046405",
            "telephone_number": "406-329-5623",
            "fax_number": "406-543-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 SOUTH AVE W",
            "address_2": "VILLAGE HEALTLH CARE CENTER",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598046405",
            "telephone_number": "406-728-7388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 N Orange St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598022951",
            "country_code": "US",
            "telephone_number": "406-329-2954",
            "fax_number": "406-327-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "7440",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "79029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0059585",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "RYAN-GORMAN",
            "middle_name": "E",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tessa Gorchesky
• Anne M Gordon, LCSW, LAC
• Leah Macke Gordon, M.D.
• Nicole Gordy, DMD
• Carolyn C. Goren, MD
• Kyle Patrick Goroski, D.M.D.
• Dirk R Gottman, MD
• Alyeska Gottschlich
• Jennifer Lynn Gouldsberry-Wellman, ACT
• Jean Paul Gourguechon

• Family Medicine Physician in Missoula, MT
• Providers in Missoula, MT by specialty
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.