Healthcare Provider Details

I. General information

NPI: 1366684417
Provider Name (Legal Business Name): COREY ADAM GILBERT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2009
Last Update Date: 09/05/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 GEORGIA AVE NW STE A
WASHINGTON DC
20060-5374
US

IV. Provider business mailing address

2041 GEORGIA AVE NW # 3400
WASHINGTON DC
20060-4908
US

V. Phone/Fax

Practice location:
  • Phone: 202-865-1183
  • Fax: 202-865-3039
Mailing address:
  • Phone: 202-865-6679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberD71281
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberMD041050
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: