MEDICARE: DR. MARY ELIZABETH GABRIEL MD

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	2083A0100X	Aerospace Medicine Physician	G2190	TX
2	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician		NC

General Provider Information

NPI Number	:	1518934868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY ELIZABETH GABRIEL MD

Provider Business Mailing Address
First Line	:	2817 REILLY ROAD MCXCCOD CREDENTIALS
Second Line	:	WOMACK ARMY MEDICAL CENTER
City	:	FORT BRAGG
State	:	NC
Zip	:	28310
Country	:	US
Telephone Number	:	910-907-8922
Fax Number	:	910-907-6069

Provider Business Practice Location Address
First Line	:	2817 REILLY RD
Second Line	:	WOMACK ARMY MEDICAL CENTER DOOH PES MEB
City	:	FT BRAGG
State	:	NC
Zip	:	28310
Country	:	US
Telephone Number	:	910-907-9891
Fax Number	:	910-907-8451

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2006
Last Update Date	:	09/11/2025

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