Provider Demographics
NPI:1427024496
Name:GILBERT, DAVID M (DO)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:GILBERT
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 STOCK ST STE 305
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-2271
Mailing Address - Country:US
Mailing Address - Phone:717-814-5052
Mailing Address - Fax:717-609-4718
Practice Address - Street 1:195 STOCK ST STE 305
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-2271
Practice Address - Country:US
Practice Address - Phone:717-814-5052
Practice Address - Fax:717-609-4718
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS010331L207R00000X, 207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018403450003Medicaid
PA0018403450004Medicaid
PA041105ZEA5Medicare PIN
PA0018403450004Medicaid