Active NPI
Allen Dean Gerber, M.D.
- Surgery Physician
- Malvern, AR
National Provider Identifier
1144229881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- N8012
- Practice address
- 1001 Schneider Dr
Malvern, AR 72104-4811 - Phone
- (501) 332-1012
- Fax
- (501) 332-7074
- NPI assigned
- Jul 15, 2005
- Reactivated
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | N8012 | AR | Primary |
Addresses
Primary practice location
1001 Schneider Dr
Malvern, AR 72104-4811
Mailing address
1002 Schneider Dr Ste 102
Malvern, AR 72104-4823
Phone (501) 332-1012
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190140002 | Medicaid | AR |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N8012 | AR | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330300800000",
"number": "1144229881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 SCHNEIDER DR STE 102",
"city": "MALVERN",
"state": "AR",
"postal_code": "721044823",
"telephone_number": "501-332-1012",
"fax_number": "501-332-7074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 SCHNEIDER DR",
"city": "MALVERN",
"state": "AR",
"postal_code": "721044811",
"telephone_number": "501-332-1012",
"fax_number": "501-332-7074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERBER",
"first_name": "ALLEN",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-15",
"last_updated": "2012-02-27",
"deactivation_date": "2006-03-18",
"reactivation_date": "2006-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AR",
"license": "N8012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "190140002",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Malvern, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.