Gary Max Gibson, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E8507 Issued in TX

Practice address

1441 Redbud Blvd
Suite 211
McKinney, TX 75069-3234

Phone

(972) 542-3364

Fax

(972) 562-9506

NPI assigned

Aug 10, 2006

Last updated

Jan 28, 2013By 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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1619988466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 REDBUD BLVD",
            "address_2": "SUITE 211",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693234",
            "telephone_number": "972-542-3364",
            "fax_number": "972-562-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 REDBUD BLVD",
            "address_2": "SUITE 211",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693234",
            "telephone_number": "972-542-3364",
            "fax_number": "972-562-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "GARY",
        "middle_name": "MAX",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "E8507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8DD348",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100092903",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100092902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Hope Gerk, NP
• Jennifer Lynn Ghousheh, LMSW
• Gibbons Eye Care, P.C.
• Jason Gibbs
• Chloe Gibson
• Geoffrey D Gibson, DO
• Mark C Gibson, OD
• Robert Kirk Giddens, RPH
• Emilie Hope Gifford, ATC, LAT
• Gift of Life Community Home

• Internal Medicine Physician in McKinney, TX
• Providers in McKinney, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.