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

Dylan Richard Gonzales

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1760060313

Dylan Richard Gonzales is a Neurology in Charlottesville, Virginia. Graduated from Medical University of South Carolina College of Medicine in 2021, 5 years ago. Accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
5
Trained at
Medical University of South Carolina College of Medicine
Licensed in
VA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1215 Lee Street Mailbox 800394
Charlottesville, VA 22908-0816
Phone: (434) 924-5306
Fax: (434) 982-4467
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 0116040208 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1760060313
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 1, 2021
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing address1215 Lee Street, Mailbox 800394, Charlottesville, VA 22908-0816

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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