Healthcare Provider Details

I. General information

NPI: 1013172535
Provider Name (Legal Business Name): BRIAN BRANDON GILMER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2008
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9990 DOUBLE R BLVD STE 200
RENO NV
89521-4833
US

IV. Provider business mailing address

5310 KIETZKE LN STE 104
RENO NV
89511-2043
US

V. Phone/Fax

Practice location:
  • Phone: 775-348-8800
  • Fax:
Mailing address:
  • Phone: 775-507-4664
  • Fax: 775-348-8818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number18827
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number18827
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberA131091
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: