Individual provider Active NPI

William Allen Gibson, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • San Antonio, TX
National Provider Identifier
1730150574
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
L4391 Issued in TX
Practice address
18105 Beargrass CT
San Antonio, TX 78258-4416
Phone
(210) 493-6489
NPI assigned
Jan 30, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L4391 TX
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X L4391 TX Primary

Addresses

Primary practice location

18105 Beargrass CT
San Antonio, TX 78258-4416

Mailing address

18105 Beargrass CT
San Antonio, TX 78258-4416
Phone (210) 493-6489

Other practice location 1

9690 E 116th St
Fishers, IN 46037-2838
Phone (317) 214-5750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061016000084 TX Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 6901802990 Reassigns benefits to 1 organization
I20260107000165 IN Practitioner - Emergency Medicine 6901802990 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Pittsburgh School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverview HospitalGroup PAC ID 1153216627, 209 clinicians

Practice addresses (Care Compare)

9690 E 116TH St
Riverview Health Freestanding Emergency Urg
Fishers, IN 46037-2838
Phone (317) 773-0760

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Hospital Emergency Medicine CurrentSince Dec 15, 2025 Accepting new patients
Longhorn Emergency Medical Associates PA Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients
Riverview Hospital CurrentSince Dec 15, 2025 Accepting new patients
Socrates Emergency Physicians Emergency Medicine Past Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine Past Accepting new patients

Locations

14585 Hazel Dell Pkwy
Carmel, IN 46033
Phone (317) 214-5030

9690 E 116th St
Fishers, IN 46037
Phone (317) 214-5750

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730150574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18105 BEARGRASS CT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584416",
            "telephone_number": "210-493-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18105 BEARGRASS CT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584416",
            "telephone_number": "210-493-6489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9690 E 116th St",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460372838",
            "country_code": "US",
            "telephone_number": "317-214-5750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "WILLIAM",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2026-07-13",
        "certification_date": "2025-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L4391",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": "L4391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.