BRUCE ROBERT GIBSON (NPI# 1003822784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003822784 |
| Entity Type | Individual |
| Full Name | BRUCE ROBERT GIBSON |
| Credential | M.D. |
| Practice Address |
4940 Eastern Ave Baltimore MD 21224-2735 |
| Mailing Address |
4940 Eastern Ave A5e Baltimore MD 21224-2735 |
| Practice Telephone | 4105500100 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2010-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
D64840 | MD | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | D64840 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861047979 | Bruce Graham Gibson | Physical Therapist | 1300 N Central Expy, Plano, TX 75074-1009 | 2019-08-06 |
| 1740611193 | Bruce Jesse Gibson | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2013-12-11 |
| 1952675944 | Bruce Ferrell Gibson | Social Worker | 345 Beville Rd, Suite# 106, South Daytona, FL 32119-2165 | 2012-03-08 |
| 1558519553 | Bruce W Gibson | Dentist | 5247 Lampson Ave, Garden Grove, CA 92845-1953 | 2008-09-03 |
| 1952307902 | Bruce A Gibson | Specialist | 718 Elizabeth St Fl 3, Corpus Christi, TX 78404-2212 | 2005-06-23 |
| Street Address |
4940 EASTERN AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21224-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295714 | Jerome M Shier | Allergy & Immunology | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2005-06-16 |
| 1740889609 | Haimanot Mulat | Nurse Practitioner | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-10-21 |
| 1457958704 | Ashley B Gemon | Student in an Organized Health Care Education/Training Program | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-10-08 |
| 1235756800 | Lauren Kerrigan | Nurse Practitioner | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-06-30 |
| 1568086692 | Kathleen Campbell Mckenzie | Physician Assistant | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-06-04 |
| 1639791197 | Sharice Cheng | Physician Assistant | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-05-07 |
| 1679194799 | John Donald Giles | Nurse Practitioner | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-04-29 |
| 1598386971 | Meiyappan Udayappan | Student in an Organized Health Care Education/Training Program | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-04-27 |
| 1972123370 | Molly Elizabeth Maresca Atwood | Psychologist | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-04-26 |
| 1982224887 | Ofure Anita Akhiwu | Student in an Organized Health Care Education/Training Program | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710595517 | Lisa Farinelli | Registered Nurse | 251 Bayview Bldv, Baltimore, MD 21224 | 2020-07-17 |
| 1891303038 | Lorenzo Leggio | General Practice | Nih/nida, Bayview Campus, Brc, 251 Bayview Boulevard, Room 01a844, Baltimore, MD 21224 | 2020-07-14 |
| 1922622737 | Johns Hopkins Bayview Medical Center, Inc. | Community/Behavioral Health | 5500 E. Lombard Street, Room 1025, Baltimore, MD 21224 | 2020-06-08 |
| 1558995670 | Myeong Hyun Chae | Dentist | 7839 Eastern Ave, Baltimore, MD 21224 | 2020-02-27 |
| 1720627581 | Johns Hopkins Bayview Medical Center, Inc. | Clinic/Center | 5500 East Lombard Street, Room 1025, Baltimore, MD 21224 | 2019-12-27 |
| 1194288431 | Tawny Meagan Epperson | Counselor | 5500 E Lombard Street, Community Psychiatry, Child Mobile Treatment Services, Baltimore, MD 21224 | 2019-04-12 |
| 1437613163 | Johns Hopkins University | Internal Medicine | 5210 Eastern Avenue, Alpha Center, Baltimore, MD 21224 | 2019-01-28 |
| 1669993606 | Maria Giannas | Pharmacist | 6510 O'donnell St, Baltimore, MD 21224 | 2017-06-29 |
| 1588193437 | Heather Ann Sand | Social Worker | 1501 S Clinton Street, Mailstop Ct 05-13, Baltimore, MD 21224 | 2017-06-05 |
| 1912447822 | Jennifer Ann Maser Hermann | Counselor | 4637 Hudson Street, Baltimore, MD 21224 | 2017-02-27 |
| Find all providers in zip 21224 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356806236 | Post-acute Care & Geriatric Surgery LLC | Surgery | 111 Hamlet Hill Rd Unit 911, Baltimore, MD 21210-1513 | 2019-02-05 |
| 1770934788 | Saurabh Gupta | Surgery | 15 S Exeter St, Baltimore, MD 21202-4603 | 2016-06-30 |
| 1477942555 | John Alan Singer | Surgery | 24 Roland Green, Baltimore, MD 21210 | 2015-01-13 |
| 1336554716 | Jafar Haghshenas | Surgery | 1800 Orleans St # 6107, Baltimore, MD 21287-0010 | 2014-06-24 |
| 1477895266 | Anna Liveris | Surgery | 22 S Greene St # T1r53, Baltimore, MD 21201 | 2013-03-20 |
| 1538411657 | Sidney S. Mir | Surgery | 7905 Ellenham Ave, Baltimore, MD 21204-3523 | 2012-10-12 |
| 1285980854 | Noeline Rajarajan I | Surgery | 3449 Wilkens Ave Ste 100, Baltimore, MD 21229-5216 | 2012-08-01 |
| 1043565401 | Ouseph Janso Padickakudi | Surgery | 600 N. Wolfe Street, 655 Blalock, Johns Hopkins Hospital, Department of Surgery, Baltimore, MD 21287 | 2012-07-20 |
| 1770844888 | Mohammed Asif | Surgery | 4940 Eastern Ave # P34-13, Baltimore, MD 21224 | 2012-06-05 |
| 1285994020 | William Robert Leeper | Surgery | 1800 Orleans Street, Sheik Zayed Tower, Suite 6107, Baltimore, MD 21287 | 2012-05-28 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.