Active NPI
Bruce R Gilbert, MD
- Nuclear Medicine Physician
- Auburn, WA
National Provider Identifier
1306845953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- 25209
- Practice address
- 202 N Division St
Plaza One
Auburn, WA 98001-4939 - Phone
- (253) 833-7711
- NPI assigned
- Jul 16, 2005
- 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 |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | 25209 | WA | Primary |
Addresses
Primary practice location
202 N Division St
Plaza One
Auburn, WA 98001-4939
Mailing address
PO Box 26730
Federal Way, WA 98093-3730
Phone (253) 661-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1024611 | Medicaid | WA |
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 |
|---|---|---|---|
| 25209 | WA | MD | Nuclear Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vantage Radiology & Diagnostic Services, a Professional Services Corp | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1306845953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26730",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980933730",
"telephone_number": "253-661-1700",
"fax_number": "253-656-4005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 N DIVISION ST",
"address_2": "PLAZA ONE",
"city": "AUBURN",
"state": "WA",
"postal_code": "980014939",
"telephone_number": "253-833-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERT",
"first_name": "BRUCE",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "WA",
"license": "25209",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1024611",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.