Healthcare Provider Details

I. General information

NPI: 1003444795
Provider Name (Legal Business Name): GABRIELLE ANNE BUI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2020
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6512 S MCCARRAN BLVD STE A
RENO NV
89509-6141
US

IV. Provider business mailing address

1155 MILL ST # M14
RENO NV
89502-1576
US

V. Phone/Fax

Practice location:
  • Phone: 775-982-6270
  • Fax: 775-982-6271
Mailing address:
  • Phone: 775-982-5262
  • Fax: 775-982-6270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number29613
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: