Active NPI
Bert Gibbs, CPSS
- Peer Specialist
- Kearney, NE
National Provider Identifier
1811763527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- CPSS-228
- Practice address
- 3710 Central Ave Ste 14
Kearney, NE 68847-8126 - Phone
- (308) 237-1102
- NPI assigned
- Dec 4, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | CPSS-228 | NE | Primary |
Addresses
Primary practice location
3710 Central Ave Ste 14
Kearney, NE 68847-8126
Mailing address
3710 Central Ave Ste 14
Kearney, NE 68847-8126
Phone (308) 237-1102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPSS-228 | NE | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1811763527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3710 CENTRAL AVE STE 14",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688478126",
"telephone_number": "308-237-1102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 CENTRAL AVE STE 14",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688478126",
"telephone_number": "308-237-1102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "BERT",
"credential": "CPSS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-04",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NE",
"license": "CPSS-228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.