NICHOLAS GORE MD
NPI 1972185957
Student in an Organized Health Care Education/Training Program in San Antonio, TX

Q: What is Nicholas Gore's NPI number?

The NPI number for Nicholas Gore is 1972185957. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Q: What is Nicholas Gore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicholas Gore was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 28, 2021PECOS Enrolled

4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-3555(210) 702-4239 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nicholas Gore Md NPPES

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

NICHOLAS GORE MD (NPI 1972185957) is an individual student in an organized health care education/training program in San Antonio, Texas and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972185957

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameNICHOLAS GORECredential: MD

Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402

Mailing Address7703 Floyd Curl DrSan Antonio, TX 78229-3901

Phone(210) 358-3555

Fax(210) 702-4239

Sole ProprietorNo

Enumeration DateApril 28, 2021

NPPES CertifiedApril 28, 2021

✔ NPI 1972185957 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.

4502 MEDICAL DR, San Antonio, TX 78229

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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)

Nicholas Gore Md 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.

EDUARDO N. POLLONO MD

Internal Medicine (Cardiovascular Disease)