MEDICARE: BEVERLY D GREGORY PA-C

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	363A00000X	Physician Assistant	C0003134	MD

General Provider Information

NPI Number	:	1871585091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEVERLY D GREGORY PA-C

Provider Business Mailing Address
First Line	:	2605 33RD ST SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-1409
Country	:	US
Telephone Number	:	202-583-3170
Fax Number	:

Provider Business Practice Location Address
First Line	:	5801 ALLENTOWN RD
Second Line	:	SUITE 502
City	:	CAMP SPRINGS
State	:	MD
Zip	:	20746-4563
Country	:	US
Telephone Number	:	240-427-1630
Fax Number	:	240-492-2070

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

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	08/13/2025

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Directions to “ BEVERLY D GREGORY PA-C” Practice Location

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