Individual provider Active NPI

Ian James Gilmour, MD

  • Anesthesiology Physician
  • Charlotte, NC
National Provider Identifier
1962559070
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
3841 Issued in SD
Practice address
14342 Brooks Knoll LN
Charlotte, NC 28227-0200
Phone
(704) 845-0420
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 22154 MN
Anesthesiology Physician 207L00000X 0101056981 VA
Anesthesiology Physician 207L00000X 3841 SD Primary

Addresses

Primary practice location

14342 Brooks Knoll LN
Charlotte, NC 28227-0200

Mailing address

14342 Brooks Knoll LN
Charlotte, NC 28227-0200
Phone (704) 845-0420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22154MNMDClinical Social Worker
3841SDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martinsville Anesthesia, PC Anesthesiology Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1962559070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14342 BROOKS KNOLL LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282270200",
            "telephone_number": "704-845-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14342 BROOKS KNOLL LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282270200",
            "telephone_number": "704-845-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMOUR",
        "first_name": "IAN",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MN",
            "license": "22154",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101056981",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SD",
            "license": "3841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.