Active NPI
Trent Gillman
- Other Specialist/Technologist
- Batesville, IN
National Provider Identifier
1972079473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- Practice address
- 1198 State Road 46 E
Batesville, IN 47006-9232 - Phone
- (855) 600-6251
- Fax
- (855) 600-6386
- NPI assigned
- Oct 23, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | IN | Primary |
Addresses
Primary practice location
1198 State Road 46 E
Batesville, IN 47006-9232
Mailing address
1198 State Road 46 E
Batesville, IN 47006-9232
Phone (855) 600-6251
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100295890A | Medicaid | IN |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| George'S Family Pharmacy Inc | 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.
-
- Pharmacy
- Brookville, IN
- NPI 1053314021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540252800000",
"number": "1972079473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1198 STATE ROAD 46 E",
"city": "BATESVILLE",
"state": "IN",
"postal_code": "470069232",
"telephone_number": "855-600-6251",
"fax_number": "855-600-6386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1198 STATE ROAD 46 E",
"city": "BATESVILLE",
"state": "IN",
"postal_code": "470069232",
"telephone_number": "855-600-6251",
"fax_number": "855-600-6386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLMAN",
"first_name": "TRENT",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-23",
"last_updated": "2018-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100295890A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Batesville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.