Dr. Gavin L Noble, MD
Internal Medicine, Cardiovascular Disease in Brandon, VT. Individual provider (NPI-1).
NPI number1750335014
StatusActive
Last updated in NPPESJul 11, 2023
Details
- NPI
- 1750335014
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gavin L Noble
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 20, 2006
- Certification date
- Jul 11, 2023
- Last updated
- Jul 11, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CARDIOVASCULAR DISEASE (CARDIOLOGY)
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | MD26753 | OR | Yes |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 042-0013148 | VT | |
| 174400000X | Specialist | MD26753 | OR | |
| 207R00000X | Internal Medicine | MD26753 | OR |
Practice location
61 Court DrBrandon, VT 05733-8407
Phone 802-382-3443
Mailing address
1501 Ne Medical Center DrBend, OR 97701-6051
Phone 541-382-2811
Other practice locations
1501 Ne Medical Center Dr
Bend, OR 97701-6051
Bend, OR 97701-6051
Phone 541-382-2811
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