DR. PHILLIP ROY GILBERTSON M.D. NPI 1366538076

NPI Information

  • NPI: 1366538076
  • Provider Name: DR. PHILLIP ROY GILBERTSON, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8204 WYOMING HWY 789
    LANDER, WY
    ZIP 82520
  • Phone: (307) 335-6716

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NPI Details

DR. Phillip Roy Gilbertson, M.D. is a family medicine in Lander, WY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Phillip Roy Gilbertson, M.D. NPI is 1366538076. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8204 WYOMING HWY 789
LANDER, WY
ZIP 82520-945
Phone: (307) 335-6716
Fax: (307) 335-6991

The NPI 1366538076 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 10/3/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine2459AWYOMINGYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1W301811MEDICARE ID-TYPE UNSPECIFIEDWYOMING
2A72939MEDICARE UPINWYOMING
3080035569OTHERWISCONSINMEDICARE RAILROAD RETIRE
4105078800MEDICAIDWYOMING
5301811OTHERWYOMINGBLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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