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1134120710

NPI Code Detail

MEDICARE: DR. WILLIAM GILMER FLOWERS M.D.

MEDICARE: DR. WILLIAM GILMER FLOWERS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	0101272662	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110141109	OTHER	MD	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1323763	OTHER	MD	CIGNA PIN
3	243361	OTHER	MD	MAMSI SPECIALIST
4	398876-02	OTHER	MD	CAREFIRST MD RENDERING
5	P12726	OTHER	MD	CAREFIRST MPOS
6	0477619	OTHER	MD	AETNA CAPITATED
7	4088472	OTHER	MD	AETNA FEE FOR SERVICE
8	015590	OTHER	MD	JHHC PROVIDER NUMBER
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	3509-0003	OTHER	MD	CAREFIRST BLUECHOICE
11	843361	OTHER	MD	MAMSI PRIMARY CARE

General Provider Information

NPI Number	:	1134120710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM GILMER FLOWERS M.D.

Provider Business Mailing Address
First Line	:	3025 BERKMAR DR
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22901-1456
Country	:	US
Telephone Number	:	434-973-1831
Fax Number	:	434-973-3120

Provider Business Practice Location Address
First Line	:	3025 BERKMAR DR
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22901-1456
Country	:	US
Telephone Number	:	434-973-1831
Fax Number	:	434-973-3120

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	07/09/2021

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Practice Location Address:

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1588602296 — DR. BORIS K GERBER MD
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1548291255 — GWENDOLYN E BALDWIN PA-C
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Practice Fax: 434-973-3120

1720090335 — DAVID LAWRENCE CHESLER M.D.
Practice Location Address:

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Practice Fax: 434-973-1919

1710999347 — KIYOKO ASAO-RAGOSTA M.D.
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1578575031 — DEBORAH M LONG F.N.P
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Directions to “ DR. WILLIAM GILMER FLOWERS M.D.” Practice Location

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