Provider Demographics
NPI:1114982246
Name:CARTER, GILBERT BRUCE (MD)
Entity Type:Individual
Prefix:DR
First Name:GILBERT
Middle Name:BRUCE
Last Name:CARTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2020 FITTH STREET
Mailing Address - Street 2:UNIT 2233
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95617
Mailing Address - Country:US
Mailing Address - Phone:916-708-3093
Mailing Address - Fax:916-414-3707
Practice Address - Street 1:2020 FITTH STREET
Practice Address - Street 2:UNIT 2233
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95617
Practice Address - Country:US
Practice Address - Phone:916-708-3093
Practice Address - Fax:916-414-3707
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-20
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC342760207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine