Active NPIIndividual providerSole proprietor

Dr. Joseph E Gillham, MD

Family Medicine in Rockingham, North Carolina

NPI Number1053624296
Practice location
921 S Long Dr Ste 101, Rockingham, NC 28379-4874
Fax
—
Last updated
October 31, 2023

Joseph Eisele Gillham is a Family Medicine based in Rockingham, NC. Joseph Eisele Gillham practices in Rockingham, NC and has the professional credentials of MD. The NPI Number for Joseph Eisele Gillham is 1053624296 and holds a License No. 0116022508 (VA). The current practice location address for Joseph Eisele Gillham is 921 S Long Dr Ste 101, Rockingham, NC 28379-4874 and can be reached out via phone at 910-417-3850.

Provider Profile Details

NPI Number
1053624296
Provider Name
Joseph Eisele Gillham
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
921 S Long Dr Ste 101, Rockingham, NC 28379-4874
Phone Number
910-417-3850
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 16, 2010
Last Update Date
October 31, 2023
Certification Date
October 31, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
921 S Long Dr Ste 101
Rockingham, NC 28379-4874
Zip
28379-4874
Phone Number
910-417-3850
Rockingham, NC 28379Get directions →

Provider Business Mailing Address Details

Address
Po Box 17990
Belfast, ME 04915
City
Belfast
State
ME
Zip
04915
Phone Number
910-417-3850

License Information

License Number (1)
0116022508
License State (1)
VA
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
DR.0071618
License State (2)
CO
Taxonomy (2)
Family Medicine · 207Q00000X
License Number (3)
2014-02114
License State (3)
NC
Taxonomy (3)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Joseph E Gillham, MD?

The NPI number of Dr. Joseph E Gillham, MD is 1053624296. It was assigned on July 16, 2010 and is currently active in the NPPES registry.

What is the specialty of Dr. Joseph E Gillham, MD?

Dr. Joseph E Gillham, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in VA under license number 0116022508.

Where does Dr. Joseph E Gillham, MD practice?

The practice location is 921 S Long Dr Ste 101, Rockingham, NC 28379-4874. The office can be reached at 910-417-3850 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053624296 directly on the NPPES registry website.

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