Active NPI
Bryce Gibson, DO
- Emergency Medicine Physician
- Connersville, IN
National Provider Identifier
1033812128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 5151016734
- Practice address
- 2231 E County Road 375 S
Connersville, IN 47331-9498 - Phone
- (765) 541-2360
- NPI assigned
- Mar 27, 2023
- Last updated
- Jul 5, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 5151016734 | MI | Primary |
| Emergency Medicine Physician | 207P00000X | 02009172A | IN |
Addresses
Primary practice location
2231 E County Road 375 S
Connersville, IN 47331-9498
Mailing address
2231 E County Road 375 S
Connersville, IN 47331-9498
Phone (765) 541-2360
Other practice location 1
1100 Reid Pkwy # 130
Richmond, IN 47374-1157
Phone (765) 983-3000
Other practice location 2
50 N Perry St
Pontiac, MI 48342-2217
Phone (248) 338-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230517002097 | IN | Order and Referring Only - Emergency Medicine | 9931565934 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Interoperability endpoints
- bgibson237422@direct.deaconess.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783209600000",
"number": "1033812128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2231 E COUNTY ROAD 375 S",
"city": "CONNERSVILLE",
"state": "IN",
"postal_code": "473319498",
"telephone_number": "765-541-2360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2231 E COUNTY ROAD 375 S",
"city": "CONNERSVILLE",
"state": "IN",
"postal_code": "473319498",
"telephone_number": "765-541-2360"
}
],
"practiceLocations": [
{
"address_1": "1100 Reid Pkwy # 130",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "IN",
"postal_code": "473741157",
"country_code": "US",
"telephone_number": "765-983-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "50 N Perry St",
"address_purpose": "LOCATION",
"city": "Pontiac",
"state": "MI",
"postal_code": "483422217",
"country_code": "US",
"telephone_number": "248-338-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIBSON",
"first_name": "BRYCE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-27",
"last_updated": "2026-07-05",
"certification_date": "2026-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "5151016734",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "02009172A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Connersville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.