Brian C Gibson, DC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

CH4236 Issued in FL

Practice address

153 Center Rd
Venice, FL 34285-5572

Phone

(941) 488-5553

Fax

(941) 218-6596

NPI assigned

Aug 18, 2006

Last updated

Oct 10, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Gulf Coast Health Care Services, Inc.

  • Psychiatry Physician
  • Venice, FL
  • NPI 1356355358
  NPD (past)
• Johnson Medical Center of Venice, Inc.

  • Family Medicine Physician
  • Venice, FL
  • NPI 1578622981
  NPD (past)
• Kro Holdings, LLC

  dba Venice Spine & Disc

  • Chiropractor
  • Venice, FL
  • NPI 1770279291
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1417061268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 CENTER RD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342855572",
            "telephone_number": "941-488-5553",
            "fax_number": "941-488-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 CENTER RD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342855572",
            "telephone_number": "941-488-5553",
            "fax_number": "941-218-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "BRIAN",
        "middle_name": "C",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "FL",
            "license": "CH4236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "U4228",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George T Abernathy MD PA
• Elizabeth Gerhardt
• Michele L Gero, MD
• Shohreh Ghassemi, DDS, MS
• Louis S. Giannone, D.P.M.
• Kelly Christine Gignac, CRNA
• Gill Family Medicine PL
• Billie W. Gimenez, LMFT
• Jessica June Ginter, DDS
• Maria Mercedes Giol, LMHC

• Nutrition Chiropractor in Venice, FL
• Providers in Venice, FL by specialty
• Nutrition Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.