NPIMap

Individual provider Active NPI

Gerald P. Gibson, M.D.

  • Emergency Medicine Physician
  • Abilene, TX
National Provider Identifier
1013932607
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
L6050 Issued in TX
Practice address
4438 S Clack St
Abilene, TX 79606-3634
Phone
(325) 704-4470
Fax
(325) 704-4485
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X L6050 TX Primary

Addresses

Primary practice location

4438 S Clack St
Abilene, TX 79606-3634

Mailing address

5907 Monticello Ave
Dallas, TX 75206-6124
Phone (148) 809-9652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Collin Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Plano Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Islands Emergency Medical Service Hawaii, LLC Emergency Medical Services Past Accepting new patients
Emcare DFW Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Texas Em-1 Medical Services, PA Emergency Medicine Past Accepting new patients
E Care Emergency McKinney, L.P. PastSince Mar 29, 2005 Accepting new patients
Hill Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
E Care Emergency Frisco LLC Past Accepting new patients
Emcare-Dtxemergency Physicians PLLC Emergency Medicine Past Accepting new patients
Texas Em-1 Medical Services, PA Emergency Medicine Past Accepting new patients
Dallas Anesthesiology Associates, PA Past Accepting new patients
Texas Em-1 Medical Services, PA Emergency Medicine Past Accepting new patients
Amin Kamali, DO, PA Past Accepting new patients

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1013932607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5907 MONTICELLO AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752066124",
            "telephone_number": "148-809-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4438 S CLACK ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796063634",
            "telephone_number": "325-704-4470",
            "fax_number": "325-704-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "GERALD",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L6050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.