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GUSTIN REYNOLDS
NPI 1740861939
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 19, 2021PECOS Enrolled
1020 SANSOM ST STE 1651B, PHILADELPHIA, PA 19107(215) 955-9837(215) 955-9870 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2022, Apr 19, 2021 (2 updates tracked since 2021).

About Gustin Reynolds NPPES

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

GUSTIN REYNOLDS (NPI 1740861939) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740861939
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGUSTIN REYNOLDS
Location Address1020 SANSOM ST STE 1651BPhiladelphia, PA 19107-5002
Mailing Address1020 Sansom St Ste 1651bPhiladelphia, PA 19107-5002 · (215) 955-9837 · Fax (215) 955-9870
Phone(215) 955-9837
Fax(215) 955-9870
Sole ProprietorYes
Enumeration DateApril 19, 2021
Last NPPES UpdateApril 7, 20222 updates tracked since enumeration
NPPES CertifiedApril 7, 2022
✔ NPI 1740861939 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
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.
1020 SANSOM ST STE 1651B, Philadelphia, PA 19107
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gustin Reynolds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

NATHAN HERSH
Emergency Medicine
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-9837
ERIN NICOLE HOAG
Emergency Medicine
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-9837
BITA MOMENAEI MD
Student in an Organized Health Care Education/Training Program
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-9837
ALEXANDER JOSEPH BERGSMAN
Student in an Organized Health Care Education/Training Program
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-9837
DR. SABRINA BUTT MD
Student in an Organized Health Care Education/Training Program
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-9837
DAWSON JORDAN DUNN MD
Student in an Organized Health Care Education/Training Program
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-9837
TATUM STAUFFER DO
Student in an Organized Health Care Education/Training Program
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-9837
HAYDEN ALEXANDER TOMLINSON MD
Emergency Medicine
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-9837

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 Gustin Reynolds's NPI number?

The NPI number for Gustin Reynolds is 1740861939. It was assigned to this individual provider in the NPPES registry on April 19, 2021.

Where is Gustin Reynolds located?

Gustin Reynolds practices at 1020 Sansom St Ste 1651B, Philadelphia, PA 19107. The listed phone number is (215) 955-9837.

What is Gustin Reynolds's specialty?

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

Is Gustin Reynolds enrolled in Medicare?

Yes. Gustin Reynolds is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gustin Reynolds was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.