Provider Demographics
NPI:1558335729
Name:GILPIN, ALLEN BRUCE (MD)
Entity Type:Individual
Prefix:
First Name:ALLEN
Middle Name:BRUCE
Last Name:GILPIN
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:PO BOX 36
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:NC
Mailing Address - Zip Code:28760-0036
Mailing Address - Country:US
Mailing Address - Phone:828-450-1453
Mailing Address - Fax:828-412-5046
Practice Address - Street 1:1278 HENDERSONVILLE RD STE B
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1954
Practice Address - Country:US
Practice Address - Phone:828-450-1453
Practice Address - Fax:828-412-5046
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC367132084A0401X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00337809OtherRAILROAD MEDICARE B
NC891145UMedicaid
NC1145UOtherBCBS
NC1145UOtherBCBS
2186168DMedicare PIN