Gastroenterology Consultants PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

01034548A Issued in IN

Legal business name

GASTROENTEROLOGY CONSULTANTS PC

Practice address

7250 Clearvista Drive
Suite 375
Indianapolis, IN 46256

Phone

(317) 621-2100

Fax

(317) 621-2105

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Brian D Clarke, MDNPI 1316960669

Title

President

Phone

(317) 848-6900

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: bclarke30083@ecommunitydirect.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian David Clarke, MD

  • Gastroenterology Physician
  • Indianapolis, IN
  • NPI 1316960669
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1972620060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13421 OLD MERIDIAN STREET",
            "address_2": "SUITE 201",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "46032",
            "telephone_number": "317-848-6900",
            "fax_number": "317-848-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 CLEARVISTA DRIVE",
            "address_2": "SUITE 375",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46256",
            "telephone_number": "317-621-2100",
            "fax_number": "317-621-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-848-6900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01034548A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100378800",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bclarke30083@eCommunityDirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7250 Clearvista Drive",
            "address_2": "Suite 375",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Gasser
• Benjamin M. Gaston, M.D.
• Clara Gaston, M.S.
• Susan M. Gaston, MD
• Gastroenterology Associates, Inc
• Brett Robert Gatens, PHARM D
• Brianna Gates, LCSW
• Chyna Gates, BSN, RN
• Kathy K Gates
• L T Gates, MD

• Gastroenterology Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Gastroenterology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.