Bruce a. Gober MD LTD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036045996 Issued in IL

Legal business name

BRUCE A. GOBER MD LTD

Practice address

3300 N Lake Shore Dr
Apt 5a
Chicago, IL 60657-3957

Phone

(773) 213-5016

NPI assigned

Aug 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bruce Gober, M.D.

Title

President

Phone

(773) 213-5016

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1043323272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 N LAKE SHORE DR",
            "address_2": "APT 5A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573957",
            "telephone_number": "773-213-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 N LAKE SHORE DR",
            "address_2": "APT 5A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573957",
            "telephone_number": "773-213-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE A. GOBER MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "GOBER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-213-5016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036045996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036045996",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Browse
• Horace C. Broy, DDS
• Catherine Brozek, DNP
• Thomas Alan Brozek Jr., D.O.
• Clinton Brubaker, MD
• Bruce a. Rosenzweig MD PC
• Bruce H. Hymanson, MD, PC
• Dyamond Bruce
• Julie Bruce, O.D.
• Madeline Ann Bruce, DPT

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.