DR. BRUCE GILLETT (NPI# 1609266634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609266634 |
| Entity Type | Individual |
| Full Name | DR. BRUCE GILLETT |
| Credential | M.D. |
| Practice Address |
948 Greymont Cir Nw Marietta GA 30064-1328 |
| Practice Telephone | 7706178406 |
| Mailing Telephone | 7706178406 |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
10547 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
948 GREYMONT CIR NW |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064-1328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| Find all providers in zip 30064 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033516356 | Neuro Proread Solutions | Psychiatry & Neurology | 2378 Riderwood Court, Marietta, GA 30062-4689 | 2014-12-02 |
| 1578618815 | Jawaid Ahsan | Psychiatry & Neurology | 1000 Johnson Ferry Rd., Bldg. E Ste.220, Marietta, GA 30068-0001 | 2007-01-25 |
| 1215027487 | James A Armstrong | Psychiatry & Neurology | 677 Church St Ne Ste 100, Marietta, GA 30060-1101 | 2006-10-16 |
| 1447351051 | Archana Koganti | Psychiatry & Neurology | 780 Canton Rd Ne Ste 400, Marietta, GA 30060 | 2006-09-26 |
| 1508898669 | Jason A. Soriano | Psychiatry & Neurology | 1960 Regents Way, Marietta, GA 30062 | 2006-07-07 |
| 1902885502 | Daniel Joseph Howley | Psychiatry & Neurology | 400 Matthew St Ste 211, Marietta, OH 45750-1656 | 2006-01-11 |
| 1235128984 | Eliahu S Feen | Psychiatry & Neurology | 677 Church Street, Suite 100n, Marietta, GA 30060 | 2005-10-17 |
| 1053303404 | David Scott Whitcomb | Psychiatry & Neurology | 1521 Johnson Ferry Rd, Suite 135, Marietta, GA 30062-6404 | 2005-08-20 |
| 1619362068 | Zachery Williams Rohm | Psychiatry & Neurology | 677 Church St Ne Ste 100n, Marietta, GA 30060-1101 | 2015-04-02 |
| 1811380025 | Wellstar Medical Group, LLC | Psychiatry & Neurology | 780 Canton Rd Ne, Suite 400, Marietta, GA 30060-7298 | 2015-03-12 |
| Find all providers in MARIETTA | ||||
Please comment or provide details below to improve the information on DR. BRUCE GILLETT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.