Brian R. Gebhardt, M.D.
Anesthesiology in Worcester, MA. Individual provider (NPI-1).
NPI number1295020162
StatusActive
Last updated in NPPESSep 28, 2021
Details
- NPI
- 1295020162
- Entity type
- Individual (NPI-1)
- Name
- Brian R. Gebhardt
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2011
- Certification date
- Sep 28, 2021
- Last updated
- Sep 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 290033 | MA | Yes |
| 207L00000X | Anesthesiology | MD2016-0121 | NM |
Practice location
55 Lake Ave NWorcester, MA 01655-0002
Phone 508-334-3271 · Fax 508-856-5911
Mailing address
Po Box 415348Boston, MA 02241-5348
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