Richard Bartholomew Gibbs, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

7152 Issued in TN

Practice address

1215 Poplar Ave
Memphis, TN 38104-7241

Phone

(901) 274-8668

Fax

(901) 276-0711

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1306937891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047241",
            "telephone_number": "901-274-8668",
            "fax_number": "901-276-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047241",
            "telephone_number": "901-274-8668",
            "fax_number": "901-276-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "RICHARD",
        "middle_name": "BARTHOLOMEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TN",
            "license": "7152",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MS",
            "license": "06637",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "AR",
            "license": "R-4673",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol D Gibbs, BS
• Dayna E Gibbs, M.D.
• Debra Gibbs, MSW
• Hettie Susie Gibbs, M.D.
• Patricia Ann Gibbs, DPH
• Andrew Bates Gibson III, MS, ATC/L
• Asia Gibson, BCBA, LBA
• Asia L Gibson, LCSW
• Frank S Gibson, OD
• Gail G. Gibson, FNP

• Procedural Dermatology Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Procedural Dermatology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.