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NPI Code Detail

MEDICARE: JAMES B GLEASON MD

MEDICARE: JAMES B GLEASON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianMD08520RI
2207Q00000XFamily Medicine Physician203549MA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2U400167670OTHERRIMEDICARE NGS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255398129
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES B GLEASON MD
Provider Business Mailing Address
First Line : 11 FRIENDSHIP ST
Second Line :
City : NEWPORT
State : RI
Zip : 02840-2271
Country : US
Telephone Number : 401-845-1593
Fax Number : 401-847-0650
Provider Business Practice Location Address
First Line : 11 FRIENDSHIP ST
Second Line :
City : NEWPORT
State : RI
Zip : 02840-2271
Country : US
Telephone Number : 401-845-1593
Fax Number : 401-847-0650
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 06/12/2026

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