Alfred Spencer Gervin, M.D., MBA

Primary specialty

SpecialistTaxonomy code 174400000X

License

36192 Issued in VA

Practice address

9702 Gayton Rd # 327
Richmond, VA 23238-4907

Phone

(804) 784-9012

Fax

(804) 784-9016

NPI assigned

Jan 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912056771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ROADS END LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232386109",
            "telephone_number": "804-784-9012",
            "fax_number": "804-784-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9702 GAYTON RD # 327",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232384907",
            "telephone_number": "804-784-9012",
            "fax_number": "804-784-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERVIN",
        "first_name": "ALFRED",
        "middle_name": "SPENCER",
        "name_prefix": "Dr.",
        "credential": "M.D., MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "36192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Malbon Geroe, LCSW
• Evgeni Gershman, MD
• Enrique Gerszten, M.D.
• Jessica Balderston Gertz, MD
• Zachary Martin Gertz, MD
• Andrew Walter Geskie, D.C.
• Teresita Dalilis Geston
• Harry Lewis Gewanter, M.D.
• Paul A Ghaemmaghami, MD
• Ali Ghais

• Specialist in Richmond, VA
• Providers in Richmond, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.