Derek D. Gibbons, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4107 Issued in OH

Practice address

50 Troy Town Dr
Suite B
Troy, OH 45373-2341

Phone

(937) 703-9328

Fax

(937) 703-9329

NPI assigned

Oct 18, 2010

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 OH

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bruce Chiropractic LLCGroup PAC ID 7719283878, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bruce Chiropractic, LLC

  • Chiropractor
  • Lancaster, OH
  • NPI 1407217755
  Medicare reassignment Care Compare group NPD
• Applied Chiropractic, LLC

  • Chiropractor
  • Troy, OH
  • NPI 1659486777
  NPD (past)

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1073823555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 TROY TOWN DR",
            "address_2": "SUITE B",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732341",
            "telephone_number": "937-703-9328",
            "fax_number": "937-703-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 TROY TOWN DR",
            "address_2": "SUITE B",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732341",
            "telephone_number": "937-703-9328",
            "fax_number": "937-703-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "DEREK",
        "middle_name": "D.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-18",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathie Irene Gengler, CRNA
• Pradeesh M. George, DO
• Virgil Gerber, LISW
• Helen Gwendolyn Gerhard, N.P.
• Gibbons Chiropractic and Acupuncture LLC
• Zackary Ethan Gibson
• Kayla Nicole Gilbert
• Jay Gillespie, LICDC, SAP
• Gail Marie Godwin
• Mary Anne Godwin, RN

• Chiropractor in Troy, OH
• Providers in Troy, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.