ALBERT DAVID GONZALEZ
NPI 1467089730
Student in an Organized Health Care Education/Training Program in Charleston, SC

Q: What is Albert Gonzalez's NPI number?

The NPI number for Albert Gonzalez is 1467089730. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Q: What is Albert Gonzalez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Albert Gonzalez was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 25, 2020PECOS Enrolled

171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2025, Mar 25, 2020 (2 updates tracked since 2020).

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About Albert David Gonzalez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALBERT DAVID GONZALEZ (NPI 1467089730) is an individual student in an organized health care education/training program in Charleston, South Carolina and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467089730

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameALBERT DAVID GONZALEZ

Location Address171 ASHLEY AVECharleston, SC 29425-2783

Mailing Address96 Jonathan Lucas St # 210Charleston, SC 29425-8900 · (843) 792-1414

Phone(843) 792-1414

Sole ProprietorNo

Enumeration DateMarch 25, 2020

Last NPPES UpdateJuly 11, 20252 updates tracked since enumeration

NPPES CertifiedJuly 11, 2025

✔ NPI 1467089730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

171 ASHLEY AVE, Charleston, SC 29425

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Albert David Gonzalez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLYN REED WORD M.D.

Allergy & Immunology