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GLEN GABRIELSON NPI 1427210491


NPI Information

NPI: 1427210491
Provider Name: GLEN GABRIELSON

Doing Business As: DOTHAN FAMILY PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1891 HONEYSUCKLE RD
STE 2
DOTHAN, AL
ZIP 36305
Phone: (334) 794-6504
Get Directions

GLEN GABRIELSON is a family medicine in Dothan, AL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GLEN GABRIELSON NPI is 1427210491. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dothan Family Practice.

The provider's business location address is:

1891 HONEYSUCKLE RD
STE 2
DOTHAN, AL
ZIP 36305-290
Phone: (334) 794-6504
Fax: (334) 793-4452

The provider's authorized official is Glen A Gabrielson .
The authorized official title is Physician/owner and has the following contact phone number (334) 794-6504.

The enumeration date for this NPI number is 6/30/2008 and was last updated on 9/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine12449ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11427210491MEDICAIDALABAMA
2510G700302MEDICARE PINALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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