Robert J Gibson, M.D. LTD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

0101030484 Issued in VA

Legal business name

ROBERT J GIBSON, M.D. LTD

Practice address

8101 Hinson Farm Rd
Suite 118
Alexandria, VA 22306-3404

Phone

(703) 360-3008

Fax

(703) 360-6204

NPI assigned

Jul 26, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Robert J Gibson, M.D.NPI 1689782468

Title

Dr/Owner

Phone

(703) 360-3008

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert John Gibson, MD

  • Family Medicine Physician
  • Alexandria, VA
  • NPI 1689782468

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1780997262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM RD",
            "address_2": "SUITE 118",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063404",
            "telephone_number": "703-360-3008",
            "fax_number": "703-360-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM RD",
            "address_2": "SUITE 118",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063404",
            "telephone_number": "703-360-3008",
            "fax_number": "703-360-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J GIBSON, M.D. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DR/OWNER",
        "authorized_official_telephone_number": "703-360-3008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101030484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "409633",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5680701",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Roach, LMT
• Monica Annette Robb, PH.D.
• Kenneth X. Robbins
• Robert a McDonald Sr DDB PC
• Robert a. Nussbaum, MD, P.C.
• Erika Roberts, PHARMD
• Kevin L Roberts
• Maryanne Roberts, MD
• Thomas Cullen Roberts Jr., D.M.D.
• Wilma Roberts, L.C.S.W.

• Primary Care Clinic/Center in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Primary Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.