Healthcare Provider Details

I. General information

NPI: 1215999388
Provider Name (Legal Business Name): ROBERT L GAUER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2817 ROCK MERRITT AVE DEPT OF INTERNAL MEDICINE
FORT BRAGG NC
28310-0001
US

IV. Provider business mailing address

2817 ROCK MERRITT AVE
FORT BRAGG NC
28310-0001
US

V. Phone/Fax

Practice location:
  • Phone: 910-907-7798
  • Fax: 910-907-8630
Mailing address:
  • Phone: 910-907-7798
  • Fax: 910-907-8630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number200100240
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: