NPIMap

Individual provider Active NPI

Bryce Gibson, MD

  • Family Medicine Physician
  • Madisonville, KY
National Provider Identifier
1538570569
Registry record updated Jun 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
49439 Issued in KY
Practice address
200 Clinic Dr
Madisonville, KY 42431-1661
Phone
(270) 825-6680
Fax
(270) 825-7266
NPI assigned
May 13, 2014
Sex
Male
Sole proprietor
No

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Deaconess Medical Group Inc 241 clinicians
Baptist Health Medical Group Inc 2,431 clinicians

Practice addresses (Care Compare)

1851 N Main St
Madisonville, KY 42431-9024
Phone (270) 825-7268

500 Clinic Dr
Hopkinsville, KY 42240-4991
Phone (270) 707-3354

Hospital & facility affiliations

  • Lifeline Home Health of Western Kentucky Home health agency, Hopkinsville, KY, CCN 187300
  • Baptist Health Deaconess Health at Home Home health agency, Madisonville, KY, CCN 187013
  • Baptist Health Deaconess Madisonville Hospital, Madisonville, KY, CCN 180093
  • Jennie Stuart Medical Center Hospital, Hopkinsville, KY, CCN 180051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151109001954 KY Practitioner - Family Practice 8527378207 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Apr 1, 2021 Accepting new patients
Regional Health Care Affiliates, Inc. Family Medicine Current Accepting new patients
Regional Health Care Affiliates, Inc Family Medicine CurrentSince Oct 23, 2019 Accepting new patients
Regional Health Care Affiliates Inc CurrentSince Oct 23, 2019 Accepting new patients
Baptist Health Deaconess Medical Group Inc Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Baptist Health Deaconess Medical Group Inc Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Baptist Health Madisonville Inc Family Medicine Past Accepting new patients
Baptist Health Deaconess Medical Group Inc Past Accepting new patients
Baptist Health Deaconess Madisonville Inc Past Accepting new patients

Locations

107 E Main St
Earlington, KY 42410
Phone (270) 383-2521

500 Clinic Dr
Hopkinsville, KY 42240
Phone (270) 707-3300

500 Clinic Dr
#500
Hopkinsville, KY 42240

200 Clinic Dr
Madisonville, KY 42431
Phone (270) 821-8874

200 Clinic Dr
Fl 1
Madisonville, KY 42431
Phone (270) 825-6680

800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900

1851 N Main St
Madisonville, KY 42431
Phone (270) 821-7739

215 E Main St
Providence, KY 42450
Phone (270) 667-7017

Interoperability endpoints

  • Direct secure messaging: bgibson10027@bhkydirect.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 49439 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

200 Clinic Dr
Madisonville, KY 42431-1661

Mailing address

200 Clinic Dr
Madisonville, KY 42431-1661
Phone (270) 825-6680

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
K196491OtherKYMEDICARE
7100373850MedicaidKY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 13, 2017.

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497312000000",
    "number": "1538570569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CLINIC DR",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311661",
            "telephone_number": "270-825-6680",
            "fax_number": "270-825-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CLINIC DR",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311661",
            "telephone_number": "270-825-6680",
            "fax_number": "270-825-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "BRYCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-13",
        "last_updated": "2017-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "49439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K196491",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100373850",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, KY

Sources for this page

Verify at the official NPI Registry.