Provider Demographics
NPI:1295932234
Name:GILBERT, DAVID DOUGLAS (DO)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:DOUGLAS
Last Name:GILBERT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8581 BLACK STAR CIR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2645
Mailing Address - Country:US
Mailing Address - Phone:410-245-7141
Mailing Address - Fax:
Practice Address - Street 1:THE JOHNS HOPKINS UNIVERSITY DPT OF
Practice Address - Street 2:1830 E. MONUMENT STREET, SUITE 6-100
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0001
Practice Address - Country:US
Practice Address - Phone:410-245-7141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2008-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDXXXXXXXXXXXX207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine