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

Dr. Joseph Eisele Gillham, MD

Individual provider Family Medicine Physician · NPI 1053624296

Dr. Joseph Eisele Gillham, MD is a Family Practice in Rockingham, North Carolina. Graduated from Howard University College of Medicine in 2010, 16 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado, North Carolina and Virginia.

Years since qualifying
16
Trained at
Howard University College of Medicine
Licensed in
CO, NC, VA
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

921 S Long Dr Ste 101
Rockingham, NC 28379-4874
Phone: (910) 417-3850
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5818 N Nevada Ave Ste 200, Colorado Springs, CO 80918-3505 — (719) 599-0444

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2014-02114 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0116022508 (VA)
Family Medicine Physician Taxonomy 207Q00000X · Licence DR.0071618 (CO)

Record details

NPI number1053624296
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 16, 2010
Last updated in NPPESOctober 31, 2023
Certification dateOctober 31, 2023
Mailing addressPo Box 17990, Belfast, ME 04915

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolHOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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