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417 Sports Medicine and Orthopedics LLC

Sports Medicine (Family Medicine) Physician in Springfield, MO · enumerated 2020 · authorized official Eric Gifford, Physician.

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

National Provider Identifier

1871105312

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Registry record

Entity type Organization (Type 2)
Legal business name 417 Sports Medicine and Orthopedics LLC
Practice address 3328 S National Ave, Springfield, MO, 65807
Enumeration date Aug 17, 2020
Last updated in NPPES May 16, 2024

Taxonomy & classification

207QS0010X Sports Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Eric Gifford
Title Physician

Other identifiers

Identifier Type State Issuer
7860260001 Other - NATIONAL SUPPLIER CLEARING HOUSE

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.

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Frequently asked questions

What is the NPI number for 417 Sports Medicine and Orthopedics LLC?
The NPI for 417 Sports Medicine and Orthopedics LLC is 1871105312, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for 417 Sports Medicine and Orthopedics LLC?
NPPES lists Eric Gifford (Physician) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-05-16.