Individual provider Active NPI

Christopher Odell Bibb, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Bryan, TX
National Provider Identifier
1992917272
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
M5635 Issued in TX
Practice address
2801 Franciscan Dr
St. Joseph Regional Medical Center, Pathology Dept.
Bryan, TX 77802-2544
Phone
(979) 776-5982
Fax
(979) 776-2469
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X M5635 TX Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 01060395A IN
Chemical Pathology Physician 207ZP0104X M5635 TX

Addresses

Primary practice location

2801 Franciscan Dr
St. Joseph Regional Medical Center, Pathology Dept.
Bryan, TX 77802-2544

Mailing address

PO Box 2386
Round Rock, TX 78680-2386
Phone (317) 507-7379

Other identifiers 2

IdentifierTypeStateIssuer
1927220MedicaidTX
8K4032OtherTXMEDICARE

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
I20080222000059 TX Practitioner - Pathology 3375627888 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Alabama School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mangini Lakhia and Associates PAGroup PAC ID 5799740338, 9 clinicians

Practice addresses (Care Compare)

11100 Shadow Creek Pkwy
Pearland, TX 77584-7285
Phone (713) 271-6881

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01060395AINMDAnatomic Pathology & Clinical Pathology Physician
M5635TXMDChemical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brazos Valley Pathology, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2008 Accepting new patients
Mangini, Lakhia and Associates, P.a. Anatomic Pathology & Clinical Pathology CurrentSince Oct 1, 2017 Accepting new patients
Brazos Valley Pathology, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2008 Accepting new patients
Austin Pathology Associates Anatomic Pathology & Clinical Pathology CurrentSince May 31, 2015 Accepting new patients
Baylor College of Medicine Anatomic Pathology & Clinical Pathology PastSince Apr 15, 2024 Accepting new patients
Austin Pathology Associates Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

3445 Executive Center Dr
Ste 250
Austin, TX 78731
Phone (512) 339-1275

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

3201 Highway 71 E
Bastrop, TX 78602
Phone (512) 321-8200

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

1140 Business Center Dr
Ste 370
Houston, TX 77043
Phone (713) 271-4133

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1992917272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2386",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786802386",
            "telephone_number": "317-507-7379",
            "fax_number": "512-597-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 FRANCISCAN DR",
            "address_2": "ST. JOSEPH REGIONAL MEDICAL CENTER, PATHOLOGY DEPT.",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022544",
            "telephone_number": "979-776-5982",
            "fax_number": "979-776-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBB",
        "first_name": "CHRISTOPHER",
        "middle_name": "ODELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "M5635",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IN",
            "license": "01060395A",
            "primary": false
        },
        {
            "code": "207ZP0104X",
            "taxonomy_group": "",
            "desc": "Pathology, Chemical Pathology",
            "state": "TX",
            "license": "M5635",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1927220",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8K4032",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.