Individual
ROBERT S GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
14128
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000018844
BLUE CROSS
AL
05
—
000018844
—
AL
01
—
00126108
MISSISSIPPI MEDICAID
MS
05
—
127717
—
AL
01
—
19161
HEALTHSPRING OF ALABAMA
AL
01
—
390003417
RAILROAD MEDICARE
AL
01
—
C76941
VIVA
AL
Enumeration date
06/16/2006
Last updated
07/07/2011
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