# GERALD FAMILY CARE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407056336
- **Authorized official:** KIMBERLY STEWART (BILLING MANAGER)
- **Authorized official phone:** (301) 773-3752

## Contact information

- **Practice address:** 1160 VARNUM ST NE, STE 117, WASHINGTON, DC 20017-2107
- **Practice address phone:** (202) 832-7007
- **Practice address fax:** (202) 529-5290
- **Mailing address:** PO BOX 75492, BALTIMORE, MD 21275-5492
- **Mailing address phone:** (301) 773-3752
- **Mailing address fax:** (202) 529-5290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2007
- **Last updated:** 12/11/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 8702 | BCBS | DC |