BRUCE ALLEN GUBERMAN (NPI# 1720204555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720204555 |
| Entity Type | Individual |
| Full Name | BRUCE ALLEN GUBERMAN |
| Credential | M.D. |
| Practice Address |
612 6th Ave Huntington WV 25701-2104 |
| Practice Telephone | 3045254202 |
| Practice Fax Number | 3045254231 |
| Mailing Telephone | 3045254202 |
| Mailing Fax Number | 3045254231 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 202C00000X | Independent Medical Examiner | 35037538R | OH | Allopathic & Osteopathic Physicians |
| N | 202C00000X | Independent Medical Examiner | 2005012335 | MO | Allopathic & Osteopathic Physicians |
| N | 202C00000X | Independent Medical Examiner | 21964 | KY | Allopathic & Osteopathic Physicians |
| Y | 202C00000X | Independent Medical Examiner | 13133 | WV | Allopathic & Osteopathic Physicians |
| Street Address |
612 6TH AVE |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25701-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225254949 | Kip Randall Beard | Internal Medicine | 612 6th Ave, Huntington, WV 25701-2104 | 2007-04-18 |
| 1952748238 | Julius N. Ngu | Surgery | 612 6th Ave, Huntington, WV 25701-2104 | 2013-05-28 |
| 1316170640 | Naushad Haziq | Obstetrics & Gynecology | 612 6th Ave, Huntington, WV 25701-2104 | 2009-09-03 |
| 1508056227 | Kathleen M Monderewicz | Family Medicine | 612 6th Ave, Huntington, WV 25701-2104 | 2007-07-30 |
| 1740401876 | Alvin E Brent Jr. | Internal Medicine | 612 6th Ave, Huntington, WV 25701-2104 | 2007-05-02 |
| 1114148665 | Barry Burchett | Emergency Medicine | 612 6th Ave, Huntington, WV 25701-2104 | 2007-05-01 |
| 1619196284 | Stephen B Nutter | General Practice | 612 6th Ave, Huntington, WV 25701-2104 | 2007-04-24 |
| 1780800516 | Tri-state Occupational Medicine, Inc. | Independent Medical Examiner | 612 6th Ave, Huntington, WV 25701-2104 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607803 | Sara Tonya Hicks | Technician | 742 4th Avenue, Huntington, WV 25701 | 2020-10-21 |
| 1316550791 | Ethan Scott Miller | Counselor | 1538 Charleston Ave., Huntington, WV 25701 | 2020-08-26 |
| 1336752674 | Brock Riley Hapney | Student in an Organized Health Care Education/Training Program | 1538 Charelston Avenue, Huntington, WV 25701 | 2020-08-26 |
| 1558972224 | Ardith Ruth Bartram | Technician | 4045 C 8th Street Road, Huntington, WV 25701 | 2020-08-14 |
| 1144839614 | Randall Edward Short | Behavior Technician | 10th Sixth Avenue West, Huntington, WV 25701 | 2020-07-30 |
| 1609495191 | Melanie Jean Howard | Pharmacist | 1538 Charleston Avenue, Huntington, WV 25701 | 2020-04-14 |
| 1205472016 | Kelly Kauffer | Technician | 1012 Johns Court, Huntington, WV 25701 | 2019-11-27 |
| 1265082648 | Matt France | Technician | 3650 Taymor Rd, Huntington, WV 25701 | 2019-09-17 |
| 1538649348 | Kathryn Markus | Pharmacist | 1500 Medical Center Drive, Huntington, WV 25701 | 2018-08-21 |
| 1487155636 | Heather Marie Rogers | Nurse Practitioner | 940 4th Ave, Huntington, WV 25701 | 2018-02-23 |
| Find all providers in zip 25701 | ||||
| Taxonomy Code | 202C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Independent Medical Examiner |
| A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. |
| Notes: Source: American Board of Independent Medical Examiners, www.abime.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780800516 | Tri-state Occupational Medicine, Inc. | Independent Medical Examiner | 612 6th Ave, Huntington, WV 25701-2104 | 2007-04-18 |
| City | HUNTINGTON |
| Zip Code | 25701 |
Please comment or provide details below to improve the information on BRUCE ALLEN GUBERMAN.
| 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.