Healthcare Provider Details

I. General information

NPI: 1891565040
Provider Name (Legal Business Name): GMS HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2024
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 OSLER DR STE 105
TOWSON MD
21204-7705
US

IV. Provider business mailing address

2012 S TOLLGATE RD STE 100
BEL AIR MD
21015-5901
US

V. Phone/Fax

Practice location:
  • Phone: 888-943-0066
  • Fax: 888-943-0077
Mailing address:
  • Phone: 443-943-0066
  • Fax: 443-943-0077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: BRIAN L SEYMORE
Title or Position: PRINCIPLE
Credential: MD
Phone: 410-808-0248