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

Johnson C Gourd Jr., MD

Individual provider Family Medicine Physician · NPI 1043264732

Johnson C Gourd Jr., MD is a Family Medicine Physician in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

9912 E 21st St
Tulsa, OK 74129-1620
Phone: (918) 622-0641
Fax: (918) 622-0683
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 23087 (OK)

Record details

NPI number1043264732
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 19, 2006
Last updated in NPPESApril 11, 2011

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