DR. GERALD BRUCE SIBRACK (NPI# 1528103819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528103819 |
| Entity Type | Individual |
| Full Name | DR. GERALD BRUCE SIBRACK |
| Credential | MD |
| Practice Address |
1100 Navaho Drive Suite 105 Raleigh NC 27609 |
| Practice Telephone | 9198723851 |
| Mailing Telephone | 9198723851 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
24032 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD | 76121 | 01 |
| NC | 8976121 | 05 |
| Street Address |
1100 NAVAHO DRIVE SUITE 105 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477647360 | Paul David Regan | Counselor | 1100 Navaho Drive, Suite 114, Raleigh, NC 27609 | 2006-10-03 |
| 1700935962 | Carole Evans Dubber | Social Worker | 1100 Navaho Drive, Suite 114, Raleigh, NC 27609 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821366402 | Yvette Figueroa | Psychiatry & Neurology | 3801 Lake Boone Trail, Suite 150, Raleigh, NC 27607 | 2011-12-09 |
| 1245465053 | Herman Aronov Naftel | Psychiatry & Neurology | 107 Sunnybrook Road, Raleigh, NC 27610 | 2009-05-22 |
| 1467676510 | Douglas Michael Conrad | Psychiatry & Neurology | 4505 Fairmeadow Ln, Suite 208, Raleigh, NC 27607-6449 | 2007-04-12 |
| 1346397833 | Hima B Palakurthi | Psychiatry & Neurology | 5904 Norwood Knolls Way, Raleigh, NC 27614-8296 | 2007-01-05 |
| 1427066802 | Laura Earle Horgan | Psychiatry & Neurology | Msc, Raleigh, NC 27699-3601 | 2006-08-03 |
| 1497230775 | Restoration Counseling Center | Psychiatry & Neurology | 5868 Faringdon Pl, Raleigh, NC 27609-3931 | 2018-10-02 |
| 1033582002 | Abdul Khalid, Md, Pa | Psychiatry & Neurology | 312 W Millbrook Rd, Raleigh, NC 27609-4389 | 2015-11-12 |
| 1619292471 | National Mentor Healthcare, LLC | Psychiatry & Neurology | 3125 Poplarwood Ct, Suite 300, Raleigh, NC 27604-1084 | 2010-04-05 |
| 1275742579 | Thomas Matthews Haizlip | Psychiatry & Neurology | 820 S Boylan Ave, Scott Building, Raleigh, NC 27603-2246 | 2007-05-22 |
| 1396950630 | Ellison & Associates of Raleigh PC | Psychiatry & Neurology | 2920 Highwoods Blvd, Suite 127, Raleigh, NC 27604-1015 | 2007-05-11 |
| Find all providers in RALEIGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.