Provider Demographics
NPI:1801054754
Name:GATES, MICHAEL GILCHRIST (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:GILCHRIST
Last Name:GATES
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 7987
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36670-0987
Mailing Address - Country:US
Mailing Address - Phone:251-633-0573
Mailing Address - Fax:251-633-7367
Practice Address - Street 1:5955 AIRPORT BLVD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608
Practice Address - Country:US
Practice Address - Phone:251-633-0573
Practice Address - Fax:251-633-7367
Is Sole Proprietor?:No
Enumeration Date:2008-05-28
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL29903207R00000X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL151374Medicaid
AL213037Medicaid
AL222452Medicaid
AL511-37042OtherBCBS
AL511-37043OtherBCBS
AL102I031769OtherMEDICARE
AL3617780OtherUHC
AL02252774OtherMS MEDICAID
ALP01226145OtherRR MEDICARE
ALZ96092OtherVIVA HEALTH
AL214406Medicaid
AL4721316OtherAETNA
AL2701894OtherCIGNA HC
AL511-37044OtherBCBS
AL511-95657OtherBCBS