David Lee Gaston Jr., M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

4301050339 Issued in MI

Practice address

28075 Ranchwood Dr
Southfield, MI 48076-2401

Phone

(248) 559-8737

Fax

(248) 559-7283

NPI assigned

Aug 17, 2006

Last updated

May 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dgaston@direct.dmc.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Clinical Neurology P.C.

  • Neurology Physician
  • Southfield, MI
  • NPI 1891936977
  Medicare reassignment NPD Authorized official
• DLP Marquette Physician Practices Inc

  dba Marquette General Family Medicine - Marquette

  • Obesity Medicine (Internal Medicine) Physician
  • Marquette, MI
  • NPI 1487902995

  Neurology

  Medicare reassignment NPD
• Comprehensive Clinical Neurology

  • Specialist
  • Southfield, MI
  • NPI 1649651332
  NPD
• DLP Marquette Physician Practices Inc

  dba UP Health System Pediatric Specialists

  • Rural Health Clinic/Center
  • Marquette, MI
  • NPI 1205635760
  NPD
• DLP Marquette Physician Practices Inc

  dba Hancock Marquette General Neurology - Cooper Country

  • Neurology Physician
  • Hancock, MI
  • NPI 1932455433
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1811000227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28075 RANCHWOOD DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762401",
            "telephone_number": "248-559-8737",
            "fax_number": "248-559-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28075 RANCHWOOD DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762401",
            "telephone_number": "248-559-8737",
            "fax_number": "248-559-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASTON",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "786",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301050339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00792362",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Garret-Alan, LMSW
• Kathaline Garrison, LLPC
• Nakayla Garth
• Gary D Bergman MD PC
• Gary J Warr DDS
• Tameka Gaston
• Gastrointestinal and Liver Disorders Specialists PLLC
• Macie Gater, REGISTERED NURSE
• Laina Tenice Gates
• Timothy O Gates, FNP-BC

• Neurology Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.