Randolph Douglas Gibbs II, M.D.

Primary specialty

Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X

License

R5119 Issued in TX

Practice address

3201 University Dr E Ste 320
Bryan, TX 77802-3478

Phone

(979) 704-5029

Fax

(979) 704-5033

NPI assigned

May 30, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Hand Surgery

Education

Southern Illinois University School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brazos Valley Physicians AllianceGroup PAC ID 1052604006, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Physicians Centre,the Hospital, Bryan, TX, CCN 450834
• CHI St Joseph Health Regional Hospital Hospital, Bryan, TX, CCN 450011

Merit-based Incentive Payment System (MIPS)

Final score

96.6 of 100Reported as individual

Promoting interoperability

96

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: randolph.gibbs.1@25466.direct.athenahealth.com

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.

• Brazos Valley Physicians Alliance

  • Surgery Physician
  • Bryan, TX
  • NPI 1326495508
  Medicare reassignment Care Compare group NPD
• Brazos Valley Physicians Alliance

  • Orthopaedic Surgery Physician
  • Bryan, TX
  • NPI 1609493543

  Hand Surgery

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Brazos Valley Physicians Organization,Mso-LLC

  • General Acute Care Hospital
  • Bryan, TX
  • NPI 1801817135
  Care Compare affiliation
• St Joseph Regional Health Center

  • General Acute Care Hospital
  • Bryan, TX
  • NPI 1942294939
  Care Compare affiliation
• St. Joseph Regional Health Center

  • General Acute Care Hospital
  • College Station, TX
  • NPI 1053963009
  Care Compare affiliation

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1053672675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 UNIVERSITY DR E STE 455",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023478",
            "telephone_number": "979-704-5029",
            "fax_number": "979-704-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 UNIVERSITY DR E STE 320",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023478",
            "telephone_number": "979-704-5029",
            "fax_number": "979-704-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "RANDOLPH",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-30",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "TX",
            "license": "R5119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassie Gates
• Sarah Ferrara Gawlik, NP-C
• Melodi Fulya Genceli-Ozkan, MSN, APRN, FNP-C
• Stephanie Gerow
• Mark Joseph Gherardi, M.A. LPC, LMFT
• Allison Gibson
• Brandi C Gibson
• Ryan Isaac Gilchrist, RN
• Rebekah Abigail Giles, RDN
• Denny Gill

• Surgery of the Hand (Surgery) Physician in Bryan, TX
• Providers in Bryan, TX by specialty
• Surgery of the Hand (Surgery) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.