Provider Demographics
NPI:1841230547
Name:GILBERT, ROBERT S (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:S
Last Name:GILBERT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4913 DEERFOOT PKWY
Mailing Address - Street 2:
Mailing Address - City:TRUSSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35173-2697
Mailing Address - Country:US
Mailing Address - Phone:205-655-4924
Mailing Address - Fax:205-655-5059
Practice Address - Street 1:4913 DEERFOOT PKWY
Practice Address - Street 2:
Practice Address - City:TRUSSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35173-2697
Practice Address - Country:US
Practice Address - Phone:205-655-4924
Practice Address - Fax:205-655-5059
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO-442207Q00000X
ALDO442207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALG15986Medicare UPIN