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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. GARY BRIAN SOUTHERLAND DDS
NPI 1487658134
Dentist in Temple, TX

Active since June 10, 2005Opted out of Medicare · through Dec 31, 2027
1910 BIRDCREEK DR, TEMPLE, TX 76502(254) 773-6373(254) 773-6582 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gary Brian Southerland Dds NPPES

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

DR. GARY BRIAN SOUTHERLAND DDS (NPI 1487658134) is an individual dentist in Temple, Texas, licensed in Texas (15454) and active in the NPI registry since June 2005. He has opted out of Medicare through December 31, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1487658134
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. GARY BRIAN SOUTHERLANDCredential: DDS
Location Address1910 BIRDCREEK DRTemple, TX 76502-1001
Mailing Address1910 Birdcreek DrTemple, TX 76502-1001 · (254) 773-6373 · Fax (254) 773-6582
Phone(254) 773-6373
Fax(254) 773-6582
Sole ProprietorNo
Enumeration DateJune 10, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1487658134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TX · 15454
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1910 BIRDCREEK DR, Temple, TX 76502
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Guardian.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Gary Brian Southerland Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 31, 2015 through December 31, 2027.

Opt-Out Effective DateDecember 31, 2015
Opt-Out In Effect ThroughDecember 31, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Gary Southerland's NPI number?

The NPI number for Gary Southerland is 1487658134. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Gary Southerland located?

Gary Southerland practices at 1910 Birdcreek Dr, Temple, TX 76502. The listed phone number is (254) 773-6373.

What is Gary Southerland's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Gary Southerland enrolled in Medicare?

No. Gary Southerland has opted out of Medicare through December 31, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Gary Southerland accept?

Health plans from Guardian list Gary Southerland as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gary Southerland was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.