MEDICARE: DR. TONY DOWNING GABRIELSON M.D.

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	207Q00000X	Family Medicine Physician	28957	AL
2	207P00000X	Emergency Medicine Physician	MD.28957	AL
3	207Q00000X	Family Medicine Physician	ME101886	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51592590	OTHER	AL	BCBS OF ALABAMA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861680738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TONY DOWNING GABRIELSON M.D.

Provider Business Mailing Address
First Line	:	1891 HONEYSUCKLE RD
Second Line	:	SUITE 2
City	:	DOTHAN
State	:	AL
Zip	:	36305-4290
Country	:	US
Telephone Number	:	334-794-6504
Fax Number	:	334-793-4452

Provider Business Practice Location Address
First Line	:	1891 HONEYSUCKLE RD
Second Line	:	SUITE 2
City	:	DOTHAN
State	:	AL
Zip	:	36305-4290
Country	:	US
Telephone Number	:	334-794-6504
Fax Number	:	334-793-4452

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

Provider Enumeration Date	:	10/04/2007
Last Update Date	:	06/09/2026

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