Provider Demographics
NPI:1134120710
Name:FLOWERS, WILLIAM GILMER (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:GILMER
Last Name:FLOWERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3025 BERKMAR DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-1456
Mailing Address - Country:US
Mailing Address - Phone:434-973-1831
Mailing Address - Fax:434-973-3120
Practice Address - Street 1:3025 BERKMAR DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-1456
Practice Address - Country:US
Practice Address - Phone:434-973-1831
Practice Address - Fax:434-973-3120
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101272662207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD110141109OtherRR MEDICARE
MD1323763OtherCIGNA PIN
MD243361OtherMAMSI SPECIALIST
MD398876-02OtherCAREFIRST MD RENDERING
MDP12726OtherCAREFIRST MPOS
MD0477619OtherAETNA CAPITATED
MD4088472OtherAETNA FEE FOR SERVICE
MD015590OtherJHHC PROVIDER NUMBER
MD780541100Medicaid
MD3509-0003OtherCAREFIRST BLUECHOICE
MD843361OtherMAMSI PRIMARY CARE
MD110141109OtherRR MEDICARE
MD226L737TMedicare PIN