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Deactivated NPI 1689724221 Deactivated / Inactive NPI Male Practitioner

Dr. Kenneth G Gilliland , MD

General Practice • Bishop, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kenneth Gilliland has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 12, 2007
NPI Deactivation Date August 07, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Gilliland, MD was a registered General Practice practicing in Bishop, CA. Throughout an active medical career spanning 18 years, Dr. Gilliland provided care at the practice location at 153 B PIONEER LN until profile deactivation on 2025-08-07.

Practice Location & Contact Primary Location

Practice Address

153 B Pioneer Ln

Bishop, CA 93514

Telephone 7608732849
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Bishop, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Bishop, CA (2300 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA A22314

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Margo Lella , APRN, FNP

Nurse Practitioner - Family

NPI 1124575261

Advanced Practice Registered Nurse, Family Nurse Practitioner

Tracy Drew , RN, NP

Nurse Practitioner - Family

NPI 1184810806

Registered Nurse, Nurse Practitioner

Colleen Mcevoy , NP

Nurse Practitioner - Pediatrics

NPI 1225251416

Nurse Practitioner

Dr. Thomas Boo , MD

Family Medicine

NPI 1255664124

Doctor of Medicine (M.D.)

Dr. Uttama Sharma , MD

Family Medicine

NPI 1366641367

Doctor of Medicine (M.D.)

Lois Alexander , FNP

Nurse Practitioner

NPI 1447502471

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 07, 2025

Record deactivated on August 07, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 153 B PIONEER LN, BISHOP, CA 93514 (Tel: 7608732849)

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Updated Business Mailing Address July 08, 2007

Registered at 214 ARCTURIS CIRCLE, BISHOP, CA 93514 (Tel: 7608739946)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH GILLILAND, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #A22314 in CA)

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Initial NPI Registration & Enumeration January 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689724221
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2007
Last Update: July 08, 2007
Deactivation Date: August 07, 2025

Mailing Address

214 Arcturis Circle

Bishop, CA 93514

Phone: 7608739946

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.