Bruce Allen Guberman, M.D.

Primary specialty

Independent Medical Examiner PhysicianTaxonomy code 202C00000X

License

13133 Issued in WV

Practice address

612 6TH Ave
Huntington, WV 25701-2104

Phone

(304) 525-4202

Fax

(304) 525-4231

NPI assigned

Apr 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Tri-State Occupational Medicine, Inc.

  • Independent Medical Examiner Physician
  • Huntington, WV
  • NPI 1780800516
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720204555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 6TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012104",
            "telephone_number": "304-525-4202",
            "fax_number": "304-525-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 6TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012104",
            "telephone_number": "304-525-4202",
            "fax_number": "304-525-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUBERMAN",
        "first_name": "BRUCE",
        "middle_name": "ALLEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "WV",
            "license": "13133",
            "primary": true
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "KY",
            "license": "21964",
            "primary": false
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "MO",
            "license": "2005012335",
            "primary": false
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "OH",
            "license": "35037538R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Andrew Gross, MD
• Jeffrey Groves, MD
• Growing With You, LLC
• Kelsey Gruber
• Matthew Anthony Gschiel, DO
• Aimee Gue
• Nicole Marie Gue, LPC
• Addison Guilliams
• Dylan Gump
• Samhitha Gundakaram

• Independent Medical Examiner Physician in Huntington, WV
• Providers in Huntington, WV by specialty
• Independent Medical Examiner Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.