Healthcare Provider Details

I. General information

NPI: 1245490135
Provider Name (Legal Business Name): GABRIEL B SPRING MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2008
Last Update Date: 08/30/2025
Certification Date: 08/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 NEW JERSEY AVE SE STE 500
WASHINGTON DC
20003-3326
US

IV. Provider business mailing address

455 S MAPLE AVE APT 401
FALLS CHURCH VA
22046-4278
US

V. Phone/Fax

Practice location:
  • Phone: 202-715-7900
  • Fax:
Mailing address:
  • Phone: 540-871-4499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD047695
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number306222
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101248472
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0082078
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: