Provider Demographics
NPI:1245274349
Name:GILBERT, SHAWN ROBERT (MD)
Entity type:Individual
Prefix:
First Name:SHAWN
Middle Name:ROBERT
Last Name:GILBERT
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:PO BOX 55310
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35255-5310
Mailing Address - Country:US
Mailing Address - Phone:205-731-9701
Mailing Address - Fax:
Practice Address - Street 1:619 19TH STREET SOUTH
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233
Practice Address - Country:US
Practice Address - Phone:205-934-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL25488207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009931926Medicaid
ALH94444OtherHEALTHSPRING OF ALABAMA
MS00325069Medicaid
AL009938305Medicaid
ALP00103946OtherRAILROAD MEDICARE
AL051554196Medicaid
AL051519002OtherBLUE CROSS
AL051528924OtherBLUE CROSS
AL051543502OtherBLUE CROSS
AL1727687OtherEMERGENCY LA MEDICAID
AL051599343OtherBLUE CROSS
AL051519001OtherBLUE CROSS
AL051528924OtherBLUE CROSS