Individual provider Active NPI

Brooke Benson Gibbs, M.D.

  • Family Medicine Physician
  • Summerville, SC
National Provider Identifier
1356604144
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
LL34719 Issued in SC
Practice address
1112 N Main St
Summerville, SC 29483-7315
Phone
(843) 212-8080
Fax
(843) 212-8081
NPI assigned
Jun 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X LL34719 SC Primary

Addresses

Primary practice location

1112 N Main St
Summerville, SC 29483-7315

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (843) 212-8080

Other practice location 1

1111 Knox Abbott Dr
Cayce, SC 29033-3323
Phone (803) 314-0660

Other identifiers 1

IdentifierTypeStateIssuer
34719OtherSCMEDICAL LICENSE

Other names 1

  • Brooke Danielle Benson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bgibbs84372@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20150323002614 SC Practitioner - Family Practice 9931347713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Saint Louis University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

1111 Knox Abbott Dr
Cayce, SC 29033-3323
Phone (803) 314-0660

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LL34719SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc Family Medicine Current Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Lexington Health Inc CurrentSince Feb 15, 2024 Accepting new patients
Lexington Health Inc CurrentSince Feb 15, 2024 Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients

Locations

1111 Knox Abbott Dr
Cayce, SC 29033
Phone (803) 314-0660

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

154 Saluda Pointe Dr
Lexington, SC 29072
Phone (803) 785-3580

Interoperability endpoints

  • Direct secure messaging: bgibbs84372@direct.lexmed.com

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1356604144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "843-212-8080",
            "fax_number": "843-212-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 N MAIN ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294837315",
            "telephone_number": "843-212-8080",
            "fax_number": "843-212-8081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Knox Abbott Dr",
            "address_purpose": "LOCATION",
            "city": "Cayce",
            "state": "SC",
            "postal_code": "290333323",
            "country_code": "US",
            "telephone_number": "803-314-0660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "BROOKE",
        "middle_name": "BENSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "LL34719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "34719",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bgibbs84372@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "1111 Knox Abbott Dr",
            "city": "Cayce",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290333323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "BENSON",
            "middle_name": "DANIELLE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.