# DR. BRETT MATTHEW GUDGEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1497105811
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 11685097-1205 | UT | — |
| 207W00000X | Ophthalmology Physician | 32820 | OK | — |
| 207W00000X | Ophthalmology Physician | MD205372 | OR | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 11018880A | IN | — |

## Other

- **Enumeration date:** 06/16/2016
- **Last updated:** 11/17/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 500794640 | — | OR |
| 01 | — | R227471 | MEDICARE | OR |