DR. CHRISTOPHER H GIBBONS M.D. NPI 1093762601

NPI Information

NPI: 1093762601
Provider Name: DR. CHRISTOPHER H GIBBONS, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
1 DEACONESS RD
BETH ISRAEL DEACONESS MEDICAL CENTER, PALMER 111
BOSTON, MA
ZIP 02215
Phone: (617) 632-8454
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DR. Christopher H Gibbons, M.D. is a neurology psychiatry neurology in Boston, MA with 25 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Christopher H Gibbons, M.D. NPI is 1093762601. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduation Year:1999

The provider's business location address is:

1 DEACONESS RD
BETH ISRAEL DEACONESS MEDICAL CENTER, PALMER 111
BOSTON, MA
ZIP 02215-321
Phone: (617) 632-8454
Fax: (617) 632-0852

The NPI 1093762601 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 5/2/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	220525	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0033246	OTHER	MASSACHUSETTS	NEIGHBORHOOD HEALTH PLAN
2	70010000J27636	OTHER	MASSACHUSETTS	BLUE CARE ELECT
3	90387	OTHER	MASSACHUSETTS	FALLON
4	05-01144	OTHER	MASSACHUSETTS	EVERCARE
5	3545778	OTHER	MASSACHUSETTS	AETNA HMO1
6	5517909-001	OTHER	MASSACHUSETTS	CIGNA PAL 1
7	70010000J27636	OTHER	MASSACHUSETTS	BLUE CARE 65
8	970771	OTHER	MASSACHUSETTS	NETWORK HEALTH
9	2078813	MEDICAID	MAINE
10	21246423448	OTHER	MASSACHUSETTS	BEECH STREET
11	05-00984	OTHER	MASSACHUSETTS	UNITED HEALTHCARE 1
12	70010000J27636	OTHER	MASSACHUSETTS	HMO BLUE NETWORK BLUE
13	7488577	OTHER	MASSACHUSETTS	AETNA NONHMO
14	70010000J27636	OTHER	MASSACHUSETTS	BLUE CROSS/BLUE SHIELD IN
15	A37072	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS	MEDICARE
16	AA22089	OTHER	MASSACHUSETTS	HARVARD PILGRIM HC 2
17	AA14162	OTHER	MASSACHUSETTS	HARVARD PILGRIM HC 1
18	3654408	OTHER	MASSACHUSETTS	AETNA HMO2
19	469158	OTHER	MASSACHUSETTS	TUFTS ASS. HEALTH PLANS
20	70010000J27636	OTHER	MASSACHUSETTS	BCBS DIAGNOSTIC IMAGING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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