Active NPI
Matthew P Gibbs, MD, PA
- Family Medicine Physician
- Helotes, TX
National Provider Identifier
1659565448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L0197
- Legal business name
- MATTHEW P GIBBS, MD, PA
- Practice address
- 12415 Bandera Rd
Ste 112
Helotes, TX 78023-4265 - Phone
- (210) 543-7000
- Fax
- (210) 543-7001
- NPI assigned
- Sep 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Paul Gibbs, M.D.
- Title
- President / Ceo
- Phone
- (210) 543-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L0197 | TX | Primary |
Addresses
Primary practice location
12415 Bandera Rd
Ste 112
Helotes, TX 78023-4265
Mailing address
12415 Bandera Rd
Ste 112
Helotes, TX 78023-4265
Phone (210) 543-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0090NJ | Other | TX | BCBS |
National Provider Directory
National Provider DirectoryLocations
12415 Bandera Rd
Ste 112
Helotes, TX 78023
Phone (210) 543-7000
10350 Bandera Rd
Ste 118
San Antonio, TX 78250
Phone (210) 363-2735
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine Physician
- San Antonio, TX
- NPI 1497935456
-
- Family Nurse Practitioner
- New Braunfels, TX
- NPI 1346597663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300147200000",
"number": "1659565448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12415 BANDERA RD",
"address_2": "STE 112",
"city": "HELOTES",
"state": "TX",
"postal_code": "780234265",
"telephone_number": "210-543-7000",
"fax_number": "210-543-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12415 BANDERA RD",
"address_2": "STE 112",
"city": "HELOTES",
"state": "TX",
"postal_code": "780234265",
"telephone_number": "210-543-7000",
"fax_number": "210-543-7001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATTHEW P GIBBS, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-05",
"last_updated": "2011-03-15",
"status": "A",
"authorized_official_last_name": "GIBBS",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "PRESIDENT / CEO",
"authorized_official_telephone_number": "210-543-7000",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "L0197",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0090NJ",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Helotes, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.