Active NPI
William Bryan Gamble, MD
- Plastic Surgery Physician
- Windermere, FL
National Provider Identifier
1265499073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 51108
- Practice address
- 11038 Hawkshead CT
Windermere, FL 34786-5413 - Phone
- (762) 333-3196
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 51108 | MA | Primary |
| Surgery Physician | 208600000X | 51108 | MA |
Addresses
Primary practice location
11038 Hawkshead CT
Windermere, FL 34786-5413
Mailing address
11038 Hawkshead CT
Windermere, FL 34786-5413
Phone (762) 333-3196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51108 | MA | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466985600000",
"number": "1265499073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11038 HAWKSHEAD CT",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347865413",
"telephone_number": "762-333-3196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11038 HAWKSHEAD CT",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347865413",
"telephone_number": "762-333-3196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBLE",
"first_name": "WILLIAM",
"middle_name": "BRYAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2016-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MA",
"license": "51108",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "51108",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windermere, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.