Todd Matthew Gibson, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

3435 Issued in SC

Practice address

5315B Sunset Blvd
Lexington, SC 29072-9159

Phone

(803) 808-9611

NPI assigned

May 28, 2007

Sex

Male

Sole proprietor

Yes

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.

• Lake Murray Hearing Associates, LLC

  • Hearing and Speech Clinic/Center
  • Lexington, SC
  • NPI 1316130578

  Audiologist, SC

  Medicare reassignment NPD Authorized official

Specialty

Qualified Audiologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in SC

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1180310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447451679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 GLENEAGLE CIR",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290638433",
            "telephone_number": "803-407-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315B SUNSET BLVD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729159",
            "telephone_number": "803-808-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "TODD",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SC",
            "license": "3435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nima Ghorbani Moghaddam
• Alice Giang
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• Thomas E Gibbons Jr., MD
• Krista L Gibson
• Brandon Giet, PT
• Jenelle Gifford
• Gildner Family Dentistry LLC
• Robert Kenny Gildner, DMD
• William C Giles, MD

• All providers in Lexington, SC
• Audiologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.