Active NPI
Bradley Paul Gilbert, M.D.
- Public Health & General Preventive Medicine Physician
- San Bernardino, CA
National Provider Identifier
1114074465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- G55690
- Practice address
- 303 E Vanderbilt Way
San Bernardino, CA 92408-3551 - Phone
- (909) 890-2000
- Fax
- (909) 890-2019
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | G55690 | CA | Primary |
Addresses
Primary practice location
303 E Vanderbilt Way
San Bernardino, CA 92408-3551
Mailing address
10801 6TH Street
Rancho Cucamonga, CA 91729
Phone (909) 890-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G55690 | CA | MD | Public Health & General Preventive Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iehp Health Access | Past | Accepting new patients | |
| Inland Empire Health Plan | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Maintenance Organization
- Rancho Cucamonga, CA
- NPI 1225139546
-
- Case Manager/Care Coordinator
- Rancho Cucamonga, CA
- NPI 1487412318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476748800000",
"number": "1114074465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10801 6TH STREET",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "91729",
"telephone_number": "909-890-2000",
"fax_number": "909-890-2019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 E VANDERBILT WAY",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083551",
"telephone_number": "909-890-2000",
"fax_number": "909-890-2019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERT",
"first_name": "BRADLEY",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2016-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "CA",
"license": "G55690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.