Provider Demographics
NPI:1790746923
Name:AUST, GILBERT M JR (MD)
Entity Type:Individual
Prefix:MR
First Name:GILBERT
Middle Name:M
Last Name:AUST
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 1:717 ADAMS ST SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3700
Mailing Address - Country:US
Mailing Address - Phone:256-714-0222
Mailing Address - Fax:
Practice Address - Street 1:717 ADAMS ST SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3700
Practice Address - Country:US
Practice Address - Phone:256-714-0222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2019-10-16
Deactivation Date:2019-08-19
Deactivation Code:
Reactivation Date:2019-10-16
Provider Licenses
StateLicense IDTaxonomies
TN12645207X00000X
AL11388207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0910210OtherUNITED HEALTHCARE
AL4003494OtherAETNA
AL00009491Medicaid
AL51009491OtherBCBS
AL20042284OtherRAILROAD MEDICARE
AL00009491Medicaid
AL4003494OtherAETNA
AL00009491Medicaid