ROBERT J GIBSON M.D. LTD NPI 1780997262

NPI Information

NPI: 1780997262
Provider Name: ROBERT J GIBSON, M.D. LTD
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
8101 HINSON FARM RD
SUITE 118
ALEXANDRIA, VA
ZIP 22306
Phone: (703) 360-3008
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ROBERT J GIBSON, M.D. LTD is a primary care clinic center in Alexandria, VA. ROBERT J GIBSON, M.D. LTD NPI is 1780997262. The provider is registered as an organization entity type.

The provider's business location address is:

8101 HINSON FARM RD
SUITE 118
ALEXANDRIA, VA
ZIP 22306-404
Phone: (703) 360-3008
Fax: (703) 360-6204

The provider's authorized official is Robert J Gibson .
The authorized official title is Dr/owner and has the following contact phone number (703) 360-3008.

The enumeration date for this NPI number is 7/26/2010 and was last updated on 7/26/2010.

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	261QP2300X	Clinic/Center	Primary Care	0101030484	VIRGINIA	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	C88730	MEDICARE UPIN	VIRGINIA
2	5680701	MEDICAID	VIRGINIA
3	409633	OTHER	VIRGINIA	MEDICARE PTAN

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: 11/14/2023

NPI Synchronization or Removal

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