GABRIEL BOLANOS (NPI# 1114403292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114403292 |
| Entity Type | Individual |
| Full Name | GABRIEL BOLANOS |
| Credential | MD |
| Practice Address |
2451 Usa Medical Center Dr Rm 714 Mobile AL 36617-2300 |
| Practice Telephone | 2514717207 |
| Mailing Telephone | 2514717117 |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2451 USA MEDICAL CENTER DR RM 714 |
| City | MOBILE |
| State | AL |
| Zip Code | 36617-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629573928 | Kaitlyn Brown Parker | Pediatrics | 2451 Usa Medical Center Dr Rm 714, Mobile, AL 36617-2300 | 2018-03-28 |
| 1437637451 | Farheen Surtie | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr Rm 714, Mobile, AL 36617-2300 | 2018-08-01 |
| 1689151383 | Daisy Escobar | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr Rm 714, Mobile, AL 36617-2300 | 2018-07-25 |
| 1366929630 | Ansh Krishnachandra Mehta | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr Rm 714, Mobile, AL 36617-2300 | 2018-07-19 |
| 1851887061 | Sarah Hamid | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr Rm 714, Mobile, AL 36617-2300 | 2018-07-11 |
| 1760978910 | Yazan Fahmawi | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr Rm 714, Mobile, AL 36617-2300 | 2018-07-10 |
| 1376049676 | Robert Collins Watson | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr Rm 714, Mobile, AL 36617-2300 | 2018-04-04 |
| 1669978623 | Amanda Reno | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr Rm 714, Mobile, AL 36617-2300 | 2018-03-30 |
| 1932604162 | Armando A Medina | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr Rm 714, Mobile, AL 36617-2300 | 2018-03-29 |
| 1487159620 | Richard Delamar Williams V | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr Rm 714, Mobile, AL 36617-2300 | 2018-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871118760 | Travis Berry | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr., Moorer Bldg. Room 120, Mobile, AL 36617 | 2020-06-16 |
| 1164064978 | Crystal Aerin Deweever | Counselor | 2400 Gordon Smith Dr., Mobile, AL 36617 | 2019-10-14 |
| 1871145938 | Sagar Kumar | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr. Rm 714, Mobile, AL 36617 | 2019-07-09 |
| 1639630882 | Sarah Anderson | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Drive, Moorer Bldg. Room 120, Mobile, AL 36617 | 2019-03-29 |
| 1215415120 | Fnu Sameeta | Student in an Organized Health Care Education/Training Program | 2451 Usa Med Center Drive, Moorer Building Room 120, Mobile, AL 36617 | 2018-08-02 |
| 1659857670 | Sara Roberta Avalos Hernandez | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Drive, Moorer Building, Rm 120, Mobile, AL 36617 | 2018-07-12 |
| 1669978359 | Colin Thomas Buckley | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr. Rm 714, Mobile, AL 36617 | 2018-04-02 |
| 1336644590 | Shuo Shawn Liu | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr., Moorer Bldg. Room 120, Mobile, AL 36617 | 2018-03-28 |
| 1609308741 | Kulwant Singh Bath | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St Res Box 7th Floor, Mobile, AL 36617 | 2017-03-29 |
| 1780115238 | Lindsay Dianne Williams | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St., Mst 709, Mobile, AL 36617 | 2017-03-27 |
| Find all providers in zip 36617 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302907 | Dyneisha Barrett | Student in an Organized Health Care Education/Training Program | 2251 Liberty Ct, Mobile, AL 36608-9145 | 2020-09-23 |
| 1548872344 | Shelby Glynn | Student in an Organized Health Care Education/Training Program | 1200 Somerby Dr Apt 326, Mobile, AL 36695-5429 | 2020-08-21 |
| 1982216388 | Kaitlyn Culotta Dozier | Student in an Organized Health Care Education/Training Program | 936 Grant Park Drive, Mobile, AL 36606 | 2020-08-18 |
| 1912518549 | Makenzie Rose-lynn Dunning | Student in an Organized Health Care Education/Training Program | 2841 Leigh Ct, Mobile, AL 36695-9794 | 2020-08-17 |
| 1093326613 | Rachael Lauren Abroms | Student in an Organized Health Care Education/Training Program | 871 W Briar Ct, Mobile, AL 36609-5167 | 2020-08-17 |
| 1669083275 | Amedee Stokley | Student in an Organized Health Care Education/Training Program | 25 Lancaster Rd, Mobile, AL 36608-1903 | 2020-08-17 |
| 1831700442 | Katherine Josephine White | Student in an Organized Health Care Education/Training Program | 2925 Jersey Dr W, Mobile, AL 36695-9583 | 2020-08-17 |
| 1376154997 | Mary Emily Moran Harris | Student in an Organized Health Care Education/Training Program | 4506 Kingsway Dr, Mobile, AL 36608-2810 | 2020-08-17 |
| 1649881269 | Roxanna Rose Hare | Student in an Organized Health Care Education/Training Program | 109 Bienville Ave, Mobile, AL 36606-1462 | 2020-08-17 |
| 1659982262 | Kaitlyn Anne Parker | Student in an Organized Health Care Education/Training Program | 7230 Oakbriar Dr N, Mobile, AL 36619-1232 | 2020-08-17 |
| Find all providers in MOBILE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.