Organization Active NPI

Matthew P Gibbs, MD, PA

  • Family Medicine Physician
  • Helotes, TX
National Provider Identifier
1659565448
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L0197 Issued in TX
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

Updated by the provider on Mar 15, 2011

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0090NJOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.