Healthcare Provider Details

I. General information

NPI: 1396707170
Provider Name (Legal Business Name): DAVID W GEHRING M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4660 KENMORE AVE STE 604
ALEXANDRIA VA
22304-1300
US

IV. Provider business mailing address

8109 HINSON FARM RD SUITE 504
ALEXANDRIA VA
22306-3415
US

V. Phone/Fax

Practice location:
  • Phone: 703-823-8300
  • Fax: 844-971-6981
Mailing address:
  • Phone: 703-780-2800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101039297
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: