MEDICARE: WILLIAM A GORMLEY DPM LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0131X	Foot Surgery Podiatrist	01432	MD

General Provider Information

NPI Number	:	1518281237
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM A GORMLEY DPM LLC

Provider Business Mailing Address
First Line	:	1121 ANNAPOLIS ROAD
Second Line	:	PMB #164
City	:	ODENTON
State	:	MD
Zip	:	21113-1633
Country	:	US
Telephone Number	:	443-517-3171
Fax Number	:	410-305-4668

Provider Business Practice Location Address
First Line	:	1071 STATE ROUTE 3 N STE 203
Second Line	:
City	:	GAMBRILLS
State	:	MD
Zip	:	21054-1784
Country	:	US
Telephone Number	:	443-292-4609
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. WILLIAM A GORMLEY
Credential	:	DPM
Telephone Number	:	443-517-3171

Provider Enumeration Date	:	03/24/2010
Last Update Date	:	12/11/2025

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