Active NPI
Caroline M. Gibbons, MD
- Obstetrics & Gynecology Physician
- Boerne, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 67735
- Practice address
- 403 W. Bandera Rd.
Suite 9
Boerne, TX 78006 - Phone
- (830) 816-1717
- Fax
- (830) 816-2103
- NPI assigned
- Nov 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 67735 | GA | Primary |
Addresses
Primary practice location
403 W. Bandera Rd.
Suite 9
Boerne, TX 78006
Mailing address
403 W. Bandera Rd
Ste 9
Beorne, TX 78006
Phone (830) 816-1717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Texas Medical School at San Antonio, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4458 Medical Dr
Suite 405
San Antonio, TX 78229-3748
Phone (210) 440-4149
5950 Saratoga Blvd
Corpus Christi, TX 78414-4100
Phone (800) 967-2289
7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (864) 908-3530
Hospital & facility affiliations
- Methodist Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67735 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barrio Comprehensive Family Health Care Center, Inc. | Current | Accepting new patients | |
| Premier OB-GYN of Texas LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Gonzales Healthcare Systems | Current | Accepting new patients | |
| Obhg Texas Holdings, P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
| Barrio Comprehensive Family Health Care Center, Inc. | Current | Accepting new patients | |
| Gonzales Healthcare Systems | Current | Accepting new patients | |
| Methodist Healthcare System of San Antonio, LTD., L.L.P. | Past | Accepting new patients |
Locations
430 W Bandera Rd
Ste 9
Boerne, TX 78006
Phone (830) 249-7211
5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263
1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845
4458 Medical Dr
Ste 405
San Antonio, TX 78229
Phone (210) 314-1718
3066 E Commerce St
San Antonio, TX 78220
Phone (210) 233-7062
4458 Medical Dr
Ste 650
San Antonio, TX 78229
1102 Barclay St
San Antonio, TX 78207
Phone (210) 434-0513
Interoperability endpoints
- cgibbons30034@directwellstar.org
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 7
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.
-
- Obstetrics & Gynecology Physician
- Austin, TX
- NPI 1083917769
-
- Obstetrics & Gynecology Physician
- San Antonio, TX
- NPI 1225807530
-
- Federally Qualified Health Center (FQHC)
- San Antonio, TX
- NPI 1902883739
-
- Rural Health Clinic/Center
- Gonzales, TX
- NPI 1013916287
-
- Federally Qualified Health Center (FQHC)
- San Marcos, TX
- NPI 1295601052
-
- General Acute Care Hospital
- Gonzales, TX
- NPI 1508859612
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645401600000",
"number": "1710168026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 W. BANDERA RD",
"address_2": "STE 9",
"city": "BEORNE",
"state": "TX",
"postal_code": "78006",
"telephone_number": "830-816-1717",
"fax_number": "830-816-2103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 W. BANDERA RD.",
"address_2": "SUITE 9",
"city": "BOERNE",
"state": "TX",
"postal_code": "78006",
"telephone_number": "830-816-1717",
"fax_number": "830-816-2103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBONS",
"first_name": "CAROLINE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-15",
"last_updated": "2022-02-21",
"certification_date": "2022-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "67735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.