Individual
DR. BRIAN JAN GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1090 MEDICAL CENTER DR, WILMINGTON, NC 28401-7353
(910) 343-3345
(910) 343-1924
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
9500914
NC
207RP1001X
Pulmonary Disease Physician
Primary
9500914
NC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
9500914
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290011792
RAILROAD MEDICARE PROVIDE
NC
01
—
35604
BCBS OF NC PROVIDER NUMBE
NC
01
—
4828880
UNITED HEALTHCARE PROVIDE
NC
01
—
88074
MEDCOST PROVIDER NUMBER
NC
05
—
8935604
—
NC
Enumeration date
07/12/2005
Last updated
05/27/2021
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