Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gary Brent Ludwig, PHD

Individual provider Psychologist · NPI 1528078987

Dr. Gary Brent Ludwig, PHD is a Clinical Psychologist in Moline, Illinois. Qualified in 1999, 27 years ago. Practices with Southpark Psychology Ltd, a 21-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
27
Licensed in
IL
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2100 52nd Ave
Moline, IL 61265-6366
Phone: (309) 797-2900
Fax: (309) 797-2147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 071-006292 (IL)

Record details

NPI number1528078987
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 9, 2006
Last updated in NPPESJanuary 23, 2013
Mailing address2100 52nd Ave, Moline, IL 61265-6366

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Southpark Psychology Ltd — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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