Organization Active NPI

R. Bartholomew Gibbs MD PC

  • Specialist
  • Memphis, TN
National Provider Identifier
1780864074
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
207NSOL35X Issued in TN
Legal business name
R. BARTHOLOMEW GIBBS MD PC
Practice address
1215 Poplar Ave
Memphis, TN 38104-7241
Phone
(901) 274-8668
NPI assigned
Nov 5, 2007
Last updated
Nov 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Richard Gibbs, M.D.NPI 1306937891
Title
Owner
Phone
(901) 274-8668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 207NSOL35X TN Primary

Addresses

Primary practice location

1215 Poplar Ave
Memphis, TN 38104-7241

Mailing address

PO Box 41059
Dba Center for Dermatology
Memphis, TN 38174-1059
Phone (901) 274-8668

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1780864074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41059",
            "address_2": "DBA CENTER FOR DERMATOLOGY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381741059",
            "telephone_number": "901-274-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047241",
            "telephone_number": "901-274-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. BARTHOLOMEW GIBBS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-274-8668",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "207NSOL35X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.