Individual
DR. ROBERT WILLIAM GERBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2690 N 17TH ST, COOS BAY, OR 97420
(541) 269-5333
(541) 269-5609
Mailing address
2690 N 17TH ST, COOS BAY, OR 97420-2134
(541) 269-5333
(541) 269-5609
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD18057
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047899
—
OR
01
—
1407812365
NBMC NPI NUMBER-GROUP
OR
01
—
CB3544
RR MEDICARE GROUP NUMBER
OR
01
—
P00088023
RR MEDICARE PTAN NUMBER
OR
01
—
R0000WFBTV
MEDICARE GROUP PIN
OR
Enumeration date
12/05/2005
Last updated
04/17/2020
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