DR. GREGORY CARDEN GIFFORD M.D. NPI 1861615510

NPI Information

  • NPI: 1861615510
  • Provider Name: DR. GREGORY CARDEN GIFFORD, M.D.
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 111 SUNNYBROOK CT
    SOUTH BEND, IN
    ZIP 46637
  • Phone: (574) 243-3100

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NPI Details

DR. Gregory Carden Gifford, M.D. is an emergency medicine in South Bend, IN. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Gregory Carden Gifford, M.D. NPI is 1861615510. 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:

111 SUNNYBROOK CT
SOUTH BEND, IN
ZIP 46637-437
Phone: (574) 243-3100
Fax: (574) 243-3134

The NPI 1861615510 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 2/11/2010.

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
1207QH0002XFamily MedicineHospice and Palliative Medicine01034956AINDIANANo
2207PH0002XEmergency MedicineHospice and Palliative Medicine01034956INDIANANo
3207P00000XEmergency MedicineO1O34956INDIANAYes

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
1B48056MEDICARE UPININDIANA
2B48056MEDICARE UPIN

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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