Provider Demographics
NPI:1588644157
Name:ALLIGOOD, GILBERT (MD)
Entity Type:Individual
Prefix:
First Name:GILBERT
Middle Name:
Last Name:ALLIGOOD
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 1:2000 PERIMETER PARK DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-8442
Mailing Address - Country:US
Mailing Address - Phone:984-215-4110
Mailing Address - Fax:
Practice Address - Street 1:7540 MIDDLESEX CORPORATE PKWY
Practice Address - Street 2:
Practice Address - City:MIDDLESEX
Practice Address - State:NC
Practice Address - Zip Code:27557-8654
Practice Address - Country:US
Practice Address - Phone:252-235-2298
Practice Address - Fax:252-235-3362
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC31424207RA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1476OtherCIGNA
NC20230OtherMEDCOST
NC10922OtherBCBS
NC110083574OtherRAILROAD MEDICARE
NC8910922Medicaid
NC10922OtherBCBS
NC2196912Medicare ID - Type Unspecified