Active NPIIndividual provider

Bryan L Gammon, MD

Dermatology, Dermatopathology in San Jose, California

NPI Number1518134154
Practice location
2420 Samaritan Dr, San Jose, CA 95124-3907
Fax
408-369-5625
Last updated
October 26, 2026

Bryan L Gammon is a Dermatology, Dermatopathology based in San Jose, CA. Bryan L Gammon practices in San Jose, CA and has the professional credentials of MD. The NPI Number for Bryan L Gammon is 1518134154 and holds a License No. R0862 (TX). The current practice location address for Bryan L Gammon is 2420 Samaritan Dr, San Jose, CA 95124-3907 and can be reached out via phone at 408-369-5600 and via fax at 408-369-5625.

Provider Profile Details

NPI Number
1518134154
Provider Name
Bryan L Gammon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2420 Samaritan Dr, San Jose, CA 95124-3907
Phone Number
408-369-5600
Fax Number
408-369-5625
Primary Taxonomy
Dermatology, Dermatopathology · 207ND0900X
Sole Proprietor
No
Provider Enumeration Date
May 13, 2008
Last Update Date
October 26, 2026
Certification Date
October 26, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
2420 Samaritan Dr
San Jose, CA 95124-3907
Zip
95124-3907
Phone Number
408-369-5600
Fax Number
408-369-5625
San Jose, CA 95124Get directions →

Provider Business Mailing Address Details

Address
4131 Directors Row
Houston, TX 77092-8703
City
Houston
State
TX
Zip
77092-8703
Phone Number
877-697-2447
Fax Number
855-697-2447

License Information

License Number (1)
R0862
License State (1)
TX
Taxonomy (1)
Dermatology, Dermatopathology · 207ND0900X
License Number (2)
R0862
License State (2)
TX
Taxonomy (2)
Dermatology · 207N00000X
License Number (3)
A118101
License State (3)
CA
Taxonomy (3)
Dermatology, Dermatopathology · 207ND0900X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bryan L Gammon, MD?

The NPI number of Bryan L Gammon, MD is 1518134154. It was assigned on May 13, 2008 and is currently active in the NPPES registry.

What is the specialty of Bryan L Gammon, MD?

Bryan L Gammon, MD is registered under the primary taxonomy Dermatology, Dermatopathology (code 207ND0900X), licensed in TX under license number R0862.

Where does Bryan L Gammon, MD practice?

The practice location is 2420 Samaritan Dr, San Jose, CA 95124-3907. The office can be reached at 408-369-5600 (phone) or 408-369-5625 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518134154 directly on the NPPES registry website.

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