Gentry Bruce Ensign, DPT, DO is a
Military Health Care Provider based in Travis Afb, California. Gentry Bruce Ensign is licensed to practice in * (Not Available) (license number ) and his current practice location is
101 Bodin Cir, Travis Afb, California. He can be reached at his office (for appointments etc.) via phone at
(707) 423-3000.
NPI number for Gentry Bruce Ensign is 1437675576 and his current mailing address is 101 Bodin Cir, Travis Afb, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437675576.
Healthcare Provider's Profile
| Full Name | Gentry Bruce Ensign |
|---|
| Gender | Male |
|---|
| Speciality | Military Health Care Provider |
|---|
| Location | 101 Bodin Cir, Travis Afb, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1437675576
- Provider Enumeration Date: 08/21/2017
- Last Update Date: 06/15/2026
Medical Identifiers
Medical identifiers for Gentry Bruce Ensign such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1437675576 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 171000000X | Military Health Care Provider | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gentry Bruce Ensign is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Gentry Bruce Ensign, DPT, DO 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-3000 | Gentry Bruce Ensign, DPT, DO 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-3000 |
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