Active NPI
Jose Brian Gorospe, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Jbsa Ft Sam Houston, TX
National Provider Identifier
1922106012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- A112646
- Practice address
- 3551 Roger Brooke Dr
Dpals (Pathology)
Jbsa Ft Sam Houston, TX 78234 - Phone
- (210) 916-3673
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | A112646 | IN | Primary |
Addresses
Primary practice location
3551 Roger Brooke Dr
Dpals (Pathology)
Jbsa Ft Sam Houston, TX 78234
Mailing address
3551 Roger Brooke Dr
Dpals (Pathology)
Jbsa Ft Sam Houston, TX 78234
Phone (210) 916-3673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A112646 | IN | MD | Anatomic Pathology & Clinical Pathology Physician |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JEAEDD/Endpoint/JEAEDD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691712000000",
"number": "1922106012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"address_2": "DPALS (PATHOLOGY)",
"city": "JBSA FT SAM HOUSTON",
"state": "TX",
"postal_code": "78234",
"telephone_number": "210-916-3673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"address_2": "DPALS (PATHOLOGY)",
"city": "JBSA FT SAM HOUSTON",
"state": "TX",
"postal_code": "78234",
"telephone_number": "210-916-3673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOROSPE",
"first_name": "JOSE",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IN",
"license": "A112646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jbsa Ft Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.