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

Dr. Mark Gustafson, MD

Individual provider Gynecology Physician · NPI 1134108756

Dr. Mark Gustafson, MD is an Obstetrics/Gynecology in Salem, Virginia. Graduated from Virginia Commonwealth University, School of Medicine in 1982, 44 years ago. Accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
44
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
VA
In the registry since
2006
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

1802 Braeburn Dr
Salem, VA 24153-7357
Phone: (540) 772-3520
Fax: (540) 772-5975
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence 0101038915 (VA)

Record details

NPI number1134108756
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 12, 2006
Last updated in NPPESNovember 28, 2007
Mailing address1802 Braeburn Dr, Salem, VA 24153-7357

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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