Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Jerry D. Gardner, M.D

Family Medicine Physician in Mill Valley, CA · enumerated 2011.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396040838

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Registry record

Entity type Individual (Type 1)

Name Jerry D. Gardner

Credential M.D

Sex Male

Practice address Mill Valley, CA, 94941

Phone (415) 381-1041

Fax (415) 381-1046

Enumeration date Jan 13, 2011

Last updated in NPPES Jan 13, 2011

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License MD009630E (PA) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Jerry Gardner's NPI record?

Cross-check NPI 1396040838 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1396040838 active?

Yes, as of the latest NPPES snapshot, NPI 1396040838 is active (record last updated 2011-01-13).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-01-13.