Provider Demographics
NPI:1467568600
Name:GILBERT, TIMOTHY RAYFORD (MD)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:RAYFORD
Last Name:GILBERT
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 DR MICHAEL DEBAKEY DR
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-5724
Mailing Address - Country:US
Mailing Address - Phone:337-312-8258
Mailing Address - Fax:337-312-6708
Practice Address - Street 1:6400 PERKINS RD
Practice Address - Street 2:BLDG. D
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808
Practice Address - Country:US
Practice Address - Phone:225-763-0250
Practice Address - Fax:225-763-0256
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA025625207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA030387OtherLA CDS LICENSE
LA025625OtherLA STATE MEDICAL LICENSE
LA030387OtherLA CDS LICENSE
LA4K2697460Medicare PIN
LAP00850238Medicare PIN