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DIRCK ANTHONY GILLAM
NPI 1730477449
Student in an Organized Health Care Education/Training Program in Fort Hood, TX

Active since July 14, 2011
36065 SANTA FE AVE, FORT HOOD, TX 76544(254) 287-7388 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dirck Anthony Gillam NPPES

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

DIRCK ANTHONY GILLAM (NPI 1730477449) is an individual student in an organized health care education/training program in Fort Hood, Texas, licensed in Louisiana (045476) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1730477449
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDIRCK ANTHONY GILLAM
Location Address36065 SANTA FE AVEFort Hood, TX 76544-5060
Mailing Address36065 Santa Fe AveFort Hood, TX 76544-5060 · (254) 287-7388
Phone(254) 287-7388
Sole ProprietorNo
Enumeration DateJuly 14, 2011
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1730477449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in LA · 045476
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
36065 SANTA FE AVE, Fort Hood, TX 76544
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Other Providers at the Same Location NPPES 20

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

DR. RICHARD ALLEN SONNIER NP
Nurse Practitioner (Psychiatric/Mental Health)
36065 SANTA FE AVE
FORT CAVAZOS, TX 76544
Bell County (254) 462-6135
DR. ERIC HEPPNER M.D.
Internal Medicine
36065 SANTA FE AVE
FORT HOOD, TX 76544
Bell County (254) 288-8090
DR. MOSES MUSOKE PHARM.D.
Pharmacist (Critical Care)
36065 SANTA FE AVE
FORT HOOD, TX 76544
Bell County (254) 288-8828
DR. LAWRENCE MICHAEL MARTINEK MD
Internal Medicine
36065 SANTA FE AVE
FORT HOOD, TX 76544
Bell County (254) 288-9000
AGNIESZKA MASLANKA
Physician Assistant
36065 SANTA FE AVE
FORT CAVAZOS, TX 76544
Bell County (254) 288-8000
DAVID S IVERSON MD
General Practice
36065 SANTA FE AVE
FORT CAVAZOS, TX 76544
Bell County (254) 553-6974
BRANDON MATTHEW OSWALD MD
Emergency Medicine
36065 SANTA FE AVE
FORT HOOD, TX 76544
Bell County (254) 288-8000
HOLLY MARIE ALLEN
Military Health Care Provider
36065 SANTA FE AVE
FORT HOOD, TX 76544
Bell County (254) 288-8000

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 Dirck Gillam's NPI number?

The NPI number for Dirck Gillam is 1730477449. It was assigned to this individual provider in the NPPES registry on July 14, 2011.

Where is Dirck Gillam located?

Dirck Gillam practices at 36065 Santa Fe Ave, Fort Hood, TX 76544. The listed phone number is (254) 287-7388.

What is Dirck Gillam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Dirck Gillam was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.