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

Ian Trevor Gaillard, MD

Individual provider Gastroenterology Physician · NPI 1912112632

Ian Trevor Gaillard, MD is a Gastroenterology in Pine Bluff, Arkansas. Graduated from Howard University College of Medicine in 2002, 24 years ago. Practices with Jefferson Hospital Association, Inc, a 79-clinician group and accepts Medicare assignment. Licensed in Arkansas and Tennessee.

Years since qualifying
24
Trained at
Howard University College of Medicine
Licensed in
AR, TN
In the registry since
2007
Specialties on file
2
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

1609 W 40th Ave Ste 401
Pine Bluff, AR 71603-6365
Phone: (870) 541-7201
Fax: (870) 541-7202
Show map & directions

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

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence E17339 (AR)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 49633 (TN)

Record details

NPI number1912112632
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 14, 2007
Last updated in NPPESFebruary 6, 2024
Certification dateFebruary 6, 2024

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolHOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Jefferson Hospital Association, Inc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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