Healthcare Provider Details

I. General information

NPI: 1548214836
Provider Name (Legal Business Name): JAMES GERSTLEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21020 STATE ROAD 7 STE 100
BOCA RATON FL
33428-1320
US

IV. Provider business mailing address

322 22ND AVE N STE 500
NASHVILLE TN
37203-1837
US

V. Phone/Fax

Practice location:
  • Phone: 561-883-8656
  • Fax:
Mailing address:
  • Phone: 561-883-8656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberME154816
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number25MA06683700
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number2093751
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: