JOHNSON C JR. GOURD (M.D.) – Family Medicine Physician, NPI 1043264732

Family Medicine Physician

JOHNSON C JR. GOURD (M.D.) is a healthcare provider. based in Tulsa, Oklahoma. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 23087 (OK). The NPI Number for JOHNSON C JR. GOURD (M.D.) is 1043264732

Main info

Male

24 Years Of Experience

Accepts Medicare Assignment

Name

JOHNSON C JR. GOURD (M.D.)

NPI

1043264732

Phone

(918) 622-0641

Address

9912 E 21ST ST

Enumeration Date

19 May 2006

Last Update Date

11 April 2011

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9186870201

Graduation Year

2002 (24 years ago)

PAC ID

4587687322

Group Practice PAC ID

5799698742

Professional Enrollment ID

I20120726000141

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JOHNSON C JR. GOURD (M.D.)

East 21st Street, Tulsa, Tulsa County, Oklahoma, 74129, United States
TULSA, OK 741291620
Phone: (918) 622-0641
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74129)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 5799698742View full group profile

Name	Specialty	State
DR. LEILA DANIELLE SEE (D.O.)	Diagnostic Radiology	OK
DR. BARINDER PAUL BASSI (DPM)	P O D I A T R Y	OK
ANN NGUYEN (D.P.M)	-	OK
KENDRA DIANE ROUND (CNP)	-	OK
DR. SARAH COURTNEY KNIFE CHIEF (M.D.)	-	OK
CATHY JUDEAN FIELDER (PA-C)	-	OK
MYO WIN (M.D)	Internal Medicine	MO
GREGORY S. BROOKS (DO)	-	OK
DR. LAURA LAI MING CHAN (OD)	-	OK
SYLVIA SOTO (M.D.)	-	OK

Reviews

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Frequently asked questions

Can I cross-check JOHNSON C JR. GOURD (M.D.) using NPI 1043264732?

NPI 1043264732 belongs to JOHNSON C JR. GOURD (M.D.); compare other details if you need extra assurance.

Active or inactive — what applies to JOHNSON C JR. GOURD (M.D.)?

You should see JOHNSON C JR. GOURD (M.D.) as active in CMS-hosted NPPES data.

How would a patient describe JOHNSON C JR. GOURD (M.D.)'s focus?

For JOHNSON C JR. GOURD (M.D.), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.

Where in Oklahoma is JOHNSON C JR. GOURD (M.D.) registered?

Use Tulsa, Oklahoma as the headline location for JOHNSON C JR. GOURD (M.D.) here.

When was this NPI issued?

Enumeration for JOHNSON C JR. GOURD (M.D.) is noted as May 19, 2006 where the registry provides it.

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