Provider Demographics
NPI:1528028859
Name:MELSON, GILBERT REID II (MD)
Entity Type:Individual
Prefix:
First Name:GILBERT
Middle Name:REID
Last Name:MELSON
Suffix:II
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 1:2129 HELTON DRIVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-1069
Mailing Address - Country:US
Mailing Address - Phone:256-718-3200
Mailing Address - Fax:256-718-3297
Practice Address - Street 1:2129 HELTON DRIVE
Practice Address - Street 2:SUITE A
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-1069
Practice Address - Country:US
Practice Address - Phone:256-718-3200
Practice Address - Fax:256-718-3297
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10886207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000088460Medicaid
C75440Medicare UPIN
AL000088460Medicare ID - Type Unspecified
AL000088460Medicaid