Gary Blafer Wilks, M.D.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

D55258 Issued in MD

Practice address

7758 Wisconsin Ave
211
Bethesda, MD 20814-3530

Phone

(301) 530-3237

Fax

(301) 907-4590

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

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

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/27008/brand/1/csg/1/fhir/r4

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

• Fried and Wilks, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Bethesda, MD
  • NPI 1194054171
  NPD
• Premier Physician Group, LLC

  • Surgery Physician
  • Bethesda, MD
  • NPI 1801064704
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1902821713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7758 WISCONSIN AVE",
            "address_2": "211",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143530",
            "telephone_number": "301-530-3237",
            "fax_number": "301-907-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7758 WISCONSIN AVE",
            "address_2": "211",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143530",
            "telephone_number": "301-530-3237",
            "fax_number": "301-907-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKS",
        "first_name": "GARY",
        "middle_name": "BLAFER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "D55258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "415096100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Wildman, PHARM.D.
• Victoria Ros Wilds, PA-C
• Lisa Marie Wiles, PT, DPT
• Stephanie Wilkes
• Colleen Priscilla Wilkinson-Walker
• Steven Wilks, MD
• William I Smith, Jr. MD PC
• Sonya Williams-Joseph, PMHNP-BC
• Alan Lewis Williams, M.D.
• Anne E. Williams, LMSW

• Geriatric Medicine (Family Medicine) Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Geriatric Medicine (Family Medicine) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.