Michael David Gibboney, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

SC006592 Issued in PA

Practice address

Navy Medicine Readiness & Training Unit Fort Worth
1711 Doolittle Ave, Nas JRB Fort Worth
Fort Worth, TX 76127

Phone

(817) 782-3660

NPI assigned

Apr 2, 2014

Last updated

May 13, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1437577913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NAVY MEDICINE READINESS & TRAINING UNIT FORT WORTH",
            "address_2": "1711 DOOLITTLE AVE, NAS JRB FORT WORTH",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76127",
            "telephone_number": "883-636-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVY MEDICINE READINESS & TRAINING UNIT FORT WORTH",
            "address_2": "1711 DOOLITTLE AVE, NAS JRB FORT WORTH",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76127",
            "telephone_number": "817-782-3660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Naval Medical Center Camp Lejeune",
            "address_2": "100 Brewster Blvd.",
            "address_purpose": "LOCATION",
            "city": "Camp Lejeune",
            "state": "NC",
            "postal_code": "28547",
            "country_code": "US",
            "telephone_number": "910-449-2608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Geisinger Medical Center 100 North Academy Ave",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "PA",
            "postal_code": "178220001",
            "country_code": "US",
            "telephone_number": "570-271-6211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "US Naval Hospital Okinawa",
            "address_2": "Camp Foster",
            "address_purpose": "LOCATION",
            "city": "FPO",
            "state": "IL",
            "postal_code": "96362",
            "country_code": "US",
            "telephone_number": "098-971-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBONEY",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006592",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunita Ghimire, F.N.P
• Arko Ghosh, MD
• Gi MD TX PLLC
• Raquel Giacomelli Cao, MD
• Corey Bryce Giammarco, OD
• Sara Catherine Gibbons, PHARMD
• Dayton Gibbs
• Chad Gibby, PHARMD
• Ahbria Chontrelle Gibson, M.S., CCC-SLP
• Anthony E Gibson Sr.

• Foot & Ankle Surgery Podiatrist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.