Provider Demographics
NPI:1841610037
Name:PEREIRA, GLAUBER BRUNO (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:GLAUBER
Middle Name:BRUNO
Last Name:PEREIRA
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2708 S RIFE MEDICAL LN STE T20
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-1469
Mailing Address - Country:US
Mailing Address - Phone:479-338-3080
Mailing Address - Fax:
Practice Address - Street 1:2708 S RIFE MEDICAL LN STE T20
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-1469
Practice Address - Country:US
Practice Address - Phone:479-338-3089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-26
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-12963207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine