Provider Demographics
NPI:1831400761
Name:FLEMING, GILBERT ALEXANDER (MD)
Entity type:Individual
Prefix:
First Name:GILBERT
Middle Name:ALEXANDER
Last Name:FLEMING
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 1260
Mailing Address - Street 2:
Mailing Address - City:HARPERS FERRY
Mailing Address - State:WV
Mailing Address - Zip Code:25425-1260
Mailing Address - Country:US
Mailing Address - Phone:304-535-3037
Mailing Address - Fax:304-535-3166
Practice Address - Street 1:550 EAST RIDGE STREET
Practice Address - Street 2:
Practice Address - City:HARPERS FERRY
Practice Address - State:WV
Practice Address - Zip Code:25425-1260
Practice Address - Country:US
Practice Address - Phone:304-535-3037
Practice Address - Fax:304-535-3166
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-25
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0028049207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism