RANDEL C. GIBSON DO PSC NPI 1457590945

NPI Information

  • NPI: 1457590945
  • Provider Name: RANDEL C. GIBSON, DO PSC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 1029 MEDICAL CENTER CIR
    SUITE 200
    MAYFIELD, KY
    ZIP 42066
  • Phone: (270) 251-4545

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NPI Details

RANDEL C. GIBSON, DO PSC is a family medicine in Mayfield, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RANDEL C. GIBSON, DO PSC NPI is 1457590945. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1029 MEDICAL CENTER CIR
SUITE 200
MAYFIELD, KY
ZIP 42066-189
Phone: (270) 251-4545
Fax: (270) 251-4546

The provider's authorized official is Randel C Gibson .
The authorized official title is Physician/owner and has the following contact phone number (270) 251-4545.

The enumeration date for this NPI number is 2/6/2009 and was last updated on 2/6/2009.

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
1207Q00000XFamily Medicine02027KENTUCKYYes

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: 11/21/2025

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