Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Gordon S Walbroehl, MD

Individual provider Family Medicine Physician · NPI 1063494714

Dr. Gordon S Walbroehl, MD is a Family Practice in Beavercreek, Ohio. Graduated from Rutgers New Jersey Medical School in 1972, 54 years ago. Practices with Alliance Physicians Inc, a 314-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
54
Trained at
Rutgers New Jersey Medical School
Licensed in
OH
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4172 Indian Ripple Rd Ste A
Beavercreek, OH 45440-3285
Phone: (937) 431-3779
Fax: (937) 431-3776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35042049 (OH)

Record details

NPI number1063494714
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 17, 2005
Last updated in NPPESNovember 16, 2020
Certification dateNovember 16, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 1972 (54 years in practice)
Group practice Alliance Physicians Inc — 314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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