Gill, Brent Richard

Gill, Brent Richard is an individual health care provider with primary practice located at 2604 Dr Martin Luther King Jr Blvd , New Bern NC 28562-4238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gill, Brent Richard can be contacted via phone (252) 638-4023.

Contact Information

Primary practice address
2604 Dr Martin Luther King Jr Blvd New Bern NC 28562-4238
Fax: (252) 633-2833
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9800871 North Carolina

Profile Details

NPI number 1851361976
LBN Legal business name Gill, Brent Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Mar 17th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851361976 NPPES
North Carolina MEDICAID 891173W

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