Provider Demographics
NPI:1295857431
Name:JAMES M GILBERT MD PC
Entity Type:Organization
Organization Name:JAMES M GILBERT MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:GILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-495-6340
Mailing Address - Street 1:7530 NW 23RD ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:BETHANY
Mailing Address - State:OK
Mailing Address - Zip Code:73008-4942
Mailing Address - Country:US
Mailing Address - Phone:405-495-6340
Mailing Address - Fax:405-440-9951
Practice Address - Street 1:7530 NW 23RD ST
Practice Address - Street 2:SUITE B
Practice Address - City:BETHANY
Practice Address - State:OK
Practice Address - Zip Code:73008-4942
Practice Address - Country:US
Practice Address - Phone:405-495-6340
Practice Address - Fax:405-440-9951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK94872084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty