Provider Demographics
NPI:1780654418
Name:GESSLER, CARL JOHN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:JOHN
Last Name:GESSLER
Suffix:JR
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 1:4810 WHITESPORT CIR SW STE 217
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-7420
Mailing Address - Country:US
Mailing Address - Phone:256-489-5040
Mailing Address - Fax:256-489-5074
Practice Address - Street 1:4810 WHITESPORT CIR SW STE 217
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-7420
Practice Address - Country:US
Practice Address - Phone:256-489-5040
Practice Address - Fax:256-489-5074
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13167207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL112355Medicaid
25-10119OtherUNITED HEALTHCARE
AL51033800OtherBCBS
AL112364Medicaid
AL51049245OtherBCBS
AL112352Medicaid
AL270737Medicaid
4003542OtherAETNA
AL51049343OtherBCBS
ALP00765706OtherRAILROAD MEDICARE
060037252OtherRAILROAD MEDICARE
AL112362Medicaid
AL51049246OtherBCBS
AL000033800Medicaid
AL112358Medicaid
AL112359Medicaid
AL51049342OtherBCBS
AL51598408OtherBCBS
TN0068479OtherBCBS
AL51049244OtherBCBS
AL51049245OtherBCBS
4003542OtherAETNA
AL112355Medicaid