Healthcare Provider Details

I. General information

NPI: 1669440855
Provider Name (Legal Business Name): WARREN S GILBERT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 GLENDALE AVE SUITE 12
SPARKS NV
89431-5775
US

IV. Provider business mailing address

8225 PANORAMA DR
RENO NV
89511-7576
US

V. Phone/Fax

Practice location:
  • Phone: 775-356-8181
  • Fax: 775-332-8085
Mailing address:
  • Phone: 775-356-8181
  • Fax: 775-332-8085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5374
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number5374
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: