Gary Berube is a Family Medicine in Columbia City, Indiana. Gary Berube practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gary Berube is 1881678696. The last update date is 2022-11-15.
Gary Berube's current location address is 1270 E State Road 205 Ste 210, Columbia City, Indiana. You can contact this provider via phone number 2602489230 and fax number 2602489249. The mailing address for Gary Berube is 1270 E State Road 205 Ste 210, Columbia City, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Berube |
|---|---|
| Address | 1270 E State Road 205 Ste 210, Columbia City, Indiana |
| Phone Number | 2602489230 |
| Fax Number | 2602489249 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1881678696 |
|---|---|
| Provider Enumeration Date | 2005-12-05 |
| Last Updated Date | 2022-11-15 |
Provider Mailing Address Detail
| Address | 1270 E State Road 205 Ste 210 |
|---|---|
| City | Columbia City |
| State | Indiana (IN) |
| Post Code | 467258506 |
| Phone Number | 2602489230 |
| Fax Number | 2602489249 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 01048413A |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 111719 | IN | ANTHEM | |
| 9360 | IN | PHYSICIANS HEALTH PLAN | |
| 570537 | IN | ANTHEM | |
| 3937240002 | IN | MEDICARE DMEPOS | |
| 1071373 | UNITED HEALTHCARE | ||
| 200210030 | IN | -- | |
| 80130068 | IN | RAILROAD MEDICARE | |
| 3937240025 | IN | MEDICARE DMEPOS | |
| 4410292 | AETNA |
Post Comment/ Review Below
What is the unique provider identifier assigned to Gary Berube?
The Gary Berube has been issued the NPI (National Provider Identifier) 1881678696 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Gary Berube located?
The Gary Berube is located at 1270 E State Road 205 Ste 210, Columbia City, IN 467258506.
What is the Gary Berube's specialty and taxonomy code?
The Gary Berube's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1881678696 to Gary Berube?
The Gary Berube received its 1881678696 assignment from the Centers for Medicare & Medicaid Services on 2005-12-05.
As of what date were the details related to Gary Berube most recently updated or revised?
The information pertaining to Gary Berube, including its address, specialty, and other relevant details, was last updated or revised on 2022-11-15.
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