Provider Demographics
NPI:1720141302
Name:LINFORD K GEHMAN
Entity type:Organization
Organization Name:LINFORD K GEHMAN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINFORD
Authorized Official - Middle Name:KULP
Authorized Official - Last Name:GEHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-852-3227
Mailing Address - Street 1:20055 BROCKS GAP RD
Mailing Address - Street 2:
Mailing Address - City:BERGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22811
Mailing Address - Country:US
Mailing Address - Phone:540-852-3227
Mailing Address - Fax:540-852-3257
Practice Address - Street 1:20055 BROCKS GAP RD
Practice Address - Street 2:
Practice Address - City:BERGTON
Practice Address - State:VA
Practice Address - Zip Code:22811
Practice Address - Country:US
Practice Address - Phone:540-852-3227
Practice Address - Fax:540-852-3257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101019956207Q00000X
VA0110840592363A00000X
VA207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Not Answered363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty