Healthcare Provider Details

I. General information

NPI: 1194771873
Provider Name (Legal Business Name): BRIAN GELB MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 ARBOR LN
ALPENA MI
49707-1301
US

IV. Provider business mailing address

105 ARBOR LN
ALPENA MI
49707-1301
US

V. Phone/Fax

Practice location:
  • Phone: 989-884-0139
  • Fax: 989-356-6396
Mailing address:
  • Phone: 989-884-0139
  • Fax: 989-356-6396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License NumberBG079468
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: