Provider Demographics
NPI:1245202902
Name:GAMS, DAVID S (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:S
Last Name:GAMS
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 1:13408 TODD DR
Mailing Address - Street 2:
Mailing Address - City:LAKE VIEW
Mailing Address - State:AL
Mailing Address - Zip Code:35111-1158
Mailing Address - Country:US
Mailing Address - Phone:205-477-6693
Mailing Address - Fax:205-477-5431
Practice Address - Street 1:2006 BROOKWOOD MEDICAL CTR DR
Practice Address - Street 2:SUITE 210
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6899
Practice Address - Country:US
Practice Address - Phone:205-477-6693
Practice Address - Fax:205-477-5431
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17240207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51520818OtherBLUE CROSS BLUE SHIELD
200806406OtherTAX IDENTIFICATION NUMBER
AL051520818Medicaid
200806406OtherTAX IDENTIFICATION NUMBER
51520818Medicare ID - Type Unspecified