Provider Demographics
NPI:1134125636
Name:CARTER, MELVIN BRUCE (MD)
Entity Type:Individual
Prefix:DR
First Name:MELVIN
Middle Name:BRUCE
Last Name:CARTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4 ROSSI CIR
Mailing Address - Street 2:SUITE 141
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93907-2362
Mailing Address - Country:US
Mailing Address - Phone:831-775-4444
Mailing Address - Fax:831-775-4419
Practice Address - Street 1:2 ROSSI CIR
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93907-2370
Practice Address - Country:US
Practice Address - Phone:831-757-0444
Practice Address - Fax:831-757-0445
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG54585207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF92558Medicare UPIN
00G545851Medicare PIN