Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 18827 | NV |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 18827 | NV |
NPI | 1013172535 |
---|---|
Provider Name | Dr. Brian Brandon Gilmer |
First Address | Mammoth Lakes, CA 93546-0660 |
Second Address | Reno, NV 89503-4723 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2008 |
Last Update Date | 20/03/2020 |