DR. BRIAN J GILLENWATER (NPI# 1649543828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649543828 |
| Entity Type | Individual |
| Full Name | DR. BRIAN J GILLENWATER |
| Credential | D.O. |
| Practice Address |
2609 Glenn Hendren Dr Liberty MO 64068-3313 |
| Mailing Address |
Po Box 219672 Kansas City MO 64121-9672 |
| Practice Telephone | 8167817730 |
| Practice Fax Number | 8164151886 |
| Mailing Telephone | 8167817730 |
| Mailing Fax Number | 8164151886 |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2017-02-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2010019019 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
2609 GLENN HENDREN DR |
| City | LIBERTY |
| State | MO |
| Zip Code | 64068-3313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891876900 | Paula M Brown | Nurse Practitioner | 2609 Glenn Hendren Dr, Liberty, MO 64068-3313 | 2006-10-17 |
| 1053811810 | Crystal Calderon | Occupational Therapy Assistant | 2609 Glenn Hendren Dr, Liberty, MO 64068-3313 | 2018-02-19 |
| 1831605542 | Kaela Butz | Physical Therapy Assistant | 2609 Glenn Hendren Dr, Liberty, MO 64068-3313 | 2017-12-18 |
| 1154717056 | Kyle Reed | Internal Medicine | 2609 Glenn Hendren Dr, Liberty, MO 64068 | 2015-04-08 |
| 1134568918 | Adam Lee Harrold | Family Medicine | 2609 Glenn Hendren Dr, Liberty, MO 64068-3313 | 2013-06-14 |
| 1023360690 | New Liberty Hospital Corporation | Internal Medicine | 2609 Glenn Hendren Dr, Liberty, MO 64068-3313 | 2012-10-08 |
| 1245592906 | Sheila Owens | Family Medicine | 2609 Glenn Hendren Dr, Liberty, MO 64068-3313 | 2012-06-08 |
| 1710273677 | Jay Babulal Patel | Family Medicine | 2609 Glenn Hendren Dr, Liberty, MO 64068-3313 | 2011-06-20 |
| 1043500275 | Heather Elaine Doss | Internal Medicine | 2609 Glenn Hendren Dr, Liberty, MO 64068-3313 | 2011-04-08 |
| 1174834378 | Kyle Schneweis | Family Medicine | 2609 Glenn Hendren Dr, Liberty, MO 64068-3313 | 2010-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437258 | Midwestern Medical Consultants LLC | Assisted Living Facility | 227 W. Franklin St, Liberty, MO 64068 | 2019-09-26 |
| 1063935062 | Jennifer Nichole Gibson | Nurse Practitioner | Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 | 2017-07-21 |
| 1598288755 | Lhlc Operations, LLC | Skilled Nursing Facility | 2609 Glenn Hendren Dr Ste G100, Liberty, MO 64068 | 2017-07-19 |
| 1023438371 | Sarah E Ehlers | Social Worker | 1170 W. Kansas Ave, Bldg 10, Liberty, MO 64068 | 2014-04-24 |
| 1629498563 | Kelli Hedgpeth | Physical Therapy Assistant | 3980 South Jackson Dr, Independence, MO 64068 | 2014-04-18 |
| 1639593965 | Klein Dental Group LLC | Clinic/Center | 12 Westwoods Dr, Liberty, MO 64068 | 2014-02-06 |
| 1124457239 | Sarah Ehlers, Lcsw LLC | Social Worker | 1170 W Kansas Ave, Bldg 10, Liberty, MO 64068 | 2013-11-08 |
| 1134561558 | Holly Hemphill | Marriage & Family Therapist | 117 N. Water Street, Liberty, MO 64068 | 2013-07-26 |
| 1093157133 | Tina Wilma Sanborn | Marriage & Family Therapist | 1170 W. Kansas St., Liberty, MO 64068 | 2013-07-17 |
| 1609215441 | Timothy Adam Lynch | Marriage & Family Therapist | 1170 West Kansas Ave., Liberty, MO 64068 | 2013-06-14 |
| Find all providers in zip 64068 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316595838 | Health Center of Southeast Texas | Family Medicine | 1002 Bowie St, Liberty, TX 77575-4659 | 2019-08-28 |
| 1740668326 | Elizabeth Critelli Nevshemal | Family Medicine | 1025 Aspen Dr, Liberty, MO 64068-7411 | 2015-05-14 |
| 1669818480 | Field Memorial Community Hospital | Family Medicine | 1410 Main St. East, Liberty, MS 39645-0514 | 2013-05-20 |
| 1801144977 | Phillip Eugene King | Family Medicine | 418 Lakeside Dr, Liberty, MO 64068-3440 | 2012-08-21 |
| 1124279872 | Palmetto Health | Family Medicine | 300 W. Front St, Liberty, SC 29657-1012 | 2008-09-30 |
| 1265690309 | Brandon Kyle Smith | Family Medicine | 1201 N Travis St, Liberty, TX 77575-3539 | 2008-05-27 |
| 1669654539 | The Family Doctors Office PC | Family Medicine | Westowne 3, Suite 303, Liberty, MO 64068 | 2007-12-03 |
| 1528285079 | Don Shannon Callens | Family Medicine | 720 Travis, Liberty, TX 77575-4828 | 2007-04-19 |
| 1649358649 | Karam Family Practice | Family Medicine | 10046 Old Liberty Rd, Liberty, NC 27298-8071 | 2006-11-01 |
| 1023190527 | Sheri L Dark | Family Medicine | 1409 N Travis St, Liberty, TX 77575-3137 | 2006-10-20 |
| Find all providers in LIBERTY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.