Provider Demographics
NPI:1376078808
Name:GILLESPIE, JAMES (MBBS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:GILLESPIE
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 QUEEN ANNE AVE N
Mailing Address - Street 2:APARTMENT 542
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-2513
Mailing Address - Country:US
Mailing Address - Phone:858-226-4844
Mailing Address - Fax:
Practice Address - Street 1:1020 26TH ST S # 100
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-2412
Practice Address - Country:US
Practice Address - Phone:205-332-3155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-21
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL44543208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine