Provider Demographics
NPI:1982091146
Name:BIRNBAUM, GILAD DAVID (MD)
Entity Type:Individual
Prefix:
First Name:GILAD
Middle Name:DAVID
Last Name:BIRNBAUM
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 1:479 OXFORD DR STE 104
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-7423
Mailing Address - Country:US
Mailing Address - Phone:830-214-0300
Mailing Address - Fax:830-214-0397
Practice Address - Street 1:479 OXFORD DR STE 104
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-7423
Practice Address - Country:US
Practice Address - Phone:830-214-0300
Practice Address - Fax:830-214-0397
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-24
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR0195207RC0001X, 208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist