K PAUL GERSTENBERG, D O, P A – NPI #1104824507
Family Medicine

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.

K PAUL GERSTENBERG, D O, P A is a provider located in PORT NECHES, TX. NPPES has assigned the NPI number 1104824507 to K PAUL GERSTENBERG, D O, P A on July 08, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Mar 04, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for K PAUL GERSTENBERG, D O, P A below.

NPI Profile for
K PAUL GERSTENBERG, D O, P A

NPI Number
1104824507
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
K PAUL GERSTENBERG, D O, P A
Primary location
2645 NALL ST
PORT NECHES, TX 77651
Phone: (409) 210-3336 Fax: (409) 527-3969
1 Other location(s):
2927 Nall St
Port Neches, TX 77651-5603
Phone: (409) 210-3336
Fax: (409) 527-3969
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KANDICE VARELA
OFFICE MANAGER
Phone: (409) 210-3336
Updated
Certification Date
Mar 04, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for K PAUL GERSTENBERG, D O, P A

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidTX167215601
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
TX J6456

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.