Provider Demographics
NPI:1952328437
Name:GERBER, BRET ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:BRET
Middle Name:ROBERT
Last Name:GERBER
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 1:5150 ROXBURY RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92116-2142
Mailing Address - Country:US
Mailing Address - Phone:619-204-3034
Mailing Address - Fax:
Practice Address - Street 1:11770 BERNARDO PLAZA CT STE 250
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2425
Practice Address - Country:US
Practice Address - Phone:858-251-3559
Practice Address - Fax:858-279-0377
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG79213208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0085-775Medicaid