Active NPI
Jill K Gherman, DO
- Family Medicine Physician
- Bridgeport, WV
National Provider Identifier
1992963185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2427
- Practice address
- 527 Medical Park Dr
Suite 500
Bridgeport, WV 26330-9008 - Phone
- (681) 342-3600
- NPI assigned
- May 25, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2427 | WV | Primary |
Addresses
Primary practice location
527 Medical Park Dr
Suite 500
Bridgeport, WV 26330-9008
Mailing address
527 Medical Park Dr
Suite 500
Bridgeport, WV 26330-9008
Phone (681) 342-3600
Other names 1
- Jill K Roberts
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 Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474848000000",
"number": "1992963185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 MEDICAL PARK DR",
"address_2": "SUITE 500",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263309008",
"telephone_number": "681-342-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 MEDICAL PARK DR",
"address_2": "SUITE 500",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263309008",
"telephone_number": "681-342-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHERMAN",
"first_name": "JILL",
"middle_name": "K",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-25",
"last_updated": "2016-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "2427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JILL",
"last_name": "ROBERTS",
"middle_name": "K",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.