Individual provider Active NPI

Caroline M. Gibbons, MD

  • Obstetrics & Gynecology Physician
  • Boerne, TX
National Provider Identifier
1710168026
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
67735 Issued in GA
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

Updated by the provider on Feb 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200930002190 TX Practitioner - Obstetrics/Gynecology 9638326515 Reassigns benefits to 4 organizations

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
Premier OB-GYN of Texas LLCGroup PAC ID 4284077900, 3 clinicians
Obhg Texas Holdings PAGroup PAC ID 3577713072, 176 clinicians

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 Hospital, San Antonio, TX, CCN 450388

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67735GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Mar 7, 2022 Accepting new patients
Premier OB-GYN of Texas LLC Obstetrics & Gynecology CurrentSince Jan 1, 2024 Accepting new patients
Gonzales Healthcare Systems CurrentSince Oct 1, 2025 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Jul 24, 2020 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. Current Accepting new patients
Gonzales Healthcare Systems CurrentSince Oct 1, 2025 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

  • Direct secure messaging: cgibbons30034@directwellstar.org
  • FHIR API: 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.

Hospital & facility affiliations 3

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

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

Verify at the official NPI Registry.