Provider Demographics
NPI:1417913435
Name:BRAR, GURPREET SINGH (MD)
Entity Type:Individual
Prefix:MR
First Name:GURPREET
Middle Name:SINGH
Last Name:BRAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 18TH ST
Mailing Address - Street 2:SUITE 610
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-3231
Mailing Address - Country:US
Mailing Address - Phone:304-424-4249
Mailing Address - Fax:304-424-4849
Practice Address - Street 1:600 18TH ST
Practice Address - Street 2:STE 302
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101
Practice Address - Country:US
Practice Address - Phone:304-424-4249
Practice Address - Fax:304-424-4849
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV11463207RR0500X
OH35-05-9311207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0082786000Medicaid
C34969Medicare UPIN
0450161Medicare PIN