1. Home
  2. Directory
  3. Oklahoma
  4. Tulsa
  5. Family Medicine
  6. NPI Profile

JOHNSON C GOURD JR. M.D.
NPI 1043264732
Family Medicine in Tulsa, OK

Active since May 19, 2006
9912 E 21ST ST, TULSA, OK 74129(918) 622-0641(918) 622-0683 Get Directions Write a Review

NPPES record last updated: April 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Johnson C Gourd Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHNSON C GOURD JR. M.D. (NPI 1043264732) is an individual family medicine provider in Tulsa, Oklahoma, licensed in Oklahoma (23087) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1043264732
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHNSON C GOURD JR.Credential: M.D.
Location Address9912 E 21ST STTulsa, OK 74129-1620
Mailing Address9912 E 21st StTulsa, OK 74129-1620 · (918) 622-0641
Phone(918) 622-0641
Fax(918) 622-0683
Sole ProprietorNo
Enumeration DateMay 19, 2006
Last NPPES UpdateApril 11, 2011
✔ NPI 1043264732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 23087
Definition
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.
9912 E 21ST ST, Tulsa, OK 74129
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN249615002OK
Medicare UPINI48112OK
Medicaid200020000AOK

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEMARCA J KEYS
Registered Nurse
9912 E 21ST ST
TULSA, OK 74129
Tulsa County (918) 492-2554
ALAN LEE BROKENICKY PA
Physician Assistant
9912 E 21ST ST
TULSA, OK 74129
Tulsa County (918) 622-0641
COMMUNITY HEALTH CONNECTION INC
Clinic/Center (Federally Qualified Health Center (FQHC))
9912 E 21ST ST
TULSA, OK 74129
Tulsa County (918) 622-0641
EMMA LEE WILSON LMSW; MSW U/S
Social Worker (Clinical)
9912 E 21ST ST
TULSA, OK 74129
Tulsa County (918) 779-4357
VICTORIA WILHELM BJORNSON DO
Family Medicine
9912 E 21ST ST
TULSA, OK 74129
Tulsa County (918) 622-0641
DR. COREY SHAWN SCHOENEWE DO
Family Medicine
9912 E 21ST ST
TULSA, OK 74129
Tulsa County (918) 622-0641
NICOLE WHEELER LPC-C
Counselor (Professional)
9912 E 21ST ST
TULSA, OK 74129
Tulsa County (918) 779-4357

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnson Gourd's NPI number?

The NPI number for Johnson Gourd is 1043264732. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Johnson Gourd located?

Johnson Gourd practices at 9912 E 21st St, Tulsa, OK 74129. The listed phone number is (918) 622-0641.

What is Johnson Gourd's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Johnson Gourd was last updated on April 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.