Healthcare Provider Details

I. General information

NPI: 1558335729
Provider Name (Legal Business Name): ALLEN BRUCE GILPIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 09/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1278 HENDERSONVILLE RD STE B
ASHEVILLE NC
28803-1954
US

IV. Provider business mailing address

PO BOX 36
NAPLES NC
28760-0036
US

V. Phone/Fax

Practice location:
  • Phone: 828-450-1453
  • Fax: 828-412-5046
Mailing address:
  • Phone: 828-450-1453
  • Fax: 828-412-5046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number36713
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number36713
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: