Carl K Gjertson, MD
Urology in Farmington, Connecticut
1063472017- Practice location
- 263 Farmington Ave, Urology, Farmington, CT 06030-6227
- Phone
- 860-679-4100
- Fax
- 860-679-1390
- Last updated
- November 12, 2025
Carl K Gjertson is an Urology based in Farmington, CT. Carl K Gjertson practices in Farmington, CT and has the professional credentials of MD. The NPI Number for Carl K Gjertson is 1063472017 and holds a License No. 045171 (CT). The current practice location address for Carl K Gjertson is 263 Farmington Ave, Urology, Farmington, CT 06030-6227 and can be reached out via phone at 860-679-4100 and via fax at 860-679-1390.
Provider Profile Details
- NPI Number
- 1063472017
- Provider Name
- Carl K Gjertson
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 263 Farmington Ave, Urology, Farmington, CT 06030-6227
- Phone Number
- 860-679-4100
- Fax Number
- 860-679-1390
- Primary Taxonomy
- Urology · 208800000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 24, 2006
- Last Update Date
- November 12, 2025
- Certification Date
- November 12, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 263 Farmington Ave
Urology
Farmington, CT 06030-6227 - City
- Farmington
- State
- Connecticut
- Zip
- 06030-6227
- Phone Number
- 860-679-4100
- Fax Number
- 860-679-1390
Provider Business Mailing Address Details
- Address
- 331 Newman Springs Road Bldg. 2, Suite 220
Red Bank, NJ 07701 - City
- Red Bank
- State
- NJ
- Zip
- 07701
- Phone Number
- 732-807-0877
- Fax Number
- 201-751-1680
License Information
- License Number (1)
- 045171
- License State (1)
- CT
- Taxonomy (1)
- Urology, Pediatric Urology · 2088P0231X
- License Number (2)
- 045171
- License State (2)
- CT
- Taxonomy (2)
- Urology · 208800000X
- License Number (3)
- 25MA12258300
- License State (3)
- NJ
- Taxonomy (3)
- Urology · 208800000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Bastion Medical Practice Of Kansas PAUrology · NPI 1497519714
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- Brooke A Harnisch, MDUrology · NPI 1528233988
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Frequently Asked Questions
What is the NPI number of Carl K Gjertson, MD?
The NPI number of Carl K Gjertson, MD is 1063472017. It was assigned on March 24, 2006 and is currently active in the NPPES registry.
What is the specialty of Carl K Gjertson, MD?
Carl K Gjertson, MD is registered under the primary taxonomy Urology (code 208800000X), licensed in CT under license number 045171.
Where does Carl K Gjertson, MD practice?
The practice location is 263 Farmington Ave, Urology, Farmington, CT 06030-6227. The office can be reached at 860-679-4100 (phone) or 860-679-1390 (fax).
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 1063472017 directly on the NPPES registry website.