BRIAN GIBBS (NPI# 1134647431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134647431 |
| Entity Type | Individual |
| Full Name | BRIAN GIBBS |
| Credential | PHARMD |
| Practice Address |
607 E State Road 59 Edgerton WI 53534-9174 |
| Mailing Address |
3725 Manchester Rd Madison WI 53719-4878 |
| Practice Telephone | 6088846644 |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2017-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 18348-40 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154953107 | Brian Gibbs | Nurse Practitioner | 1540 Appling Care Ln Ste 100, Cordova, TN 38016-4947 | 2020-02-07 |
| 1932238276 | Brian C Gibbs | Dentist | 216 N 17th St, Allentown, PA 18104-5605 | 2007-03-04 |
| 1336526961 | Brian Gibbs | Nurse Anesthetist, Certified Registered | 1034 Grove St, Anesthesia Consultants of Meadville, Meadville, PA 16335-2945 | 2015-05-04 |
| Street Address |
607 E STATE ROAD 59 |
| City | EDGERTON |
| State | WI |
| Zip Code | 53534-9174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922244144 | Matthew Mark Houfe | Chiropractor | 75 West Fulton St, Edgerton, WI 53534 | 2008-12-17 |
| 1184812612 | Sport & Spine Clinic of Fort Atkinson Limited Partnership | Clinic/Center | 119 Henry Street, Edgerton, WI 53534 | 2007-10-10 |
| 1134310451 | Ravi Murali | General Practice | 11028 N Hillside Rd, Edgerton, WI 53534 | 2007-08-05 |
| 1447219845 | William Jack Rein | Physical Therapist | 119 Henry St, Edgerton, WI 53534 | 2006-03-23 |
| 1780700708 | Janna Lynn Hack | Social Worker | 302 S. Main St., Edgerton, WI 53534 | 2007-03-21 |
| 1841301181 | Thomas H Reitz Dds Sc | Dentist | 1007 N Main St, Edgerton, WI 53534 | 2006-08-31 |
| 1093729584 | Michael James Long | Optometrist | 1110 N Main St, Edgerton, WI 53534 | 2006-07-28 |
| 1588777585 | Sherry Catacutan | Physical Therapy Assistant | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2006-08-16 |
| 1457821159 | Brett Podlinsek | Physical Therapy Assistant | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2018-11-26 |
| 1619455466 | Rachel E Snow | Physical Therapist | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2018-08-03 |
| Find all providers in zip 53534 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174779912 | Belinda Sue Robertson | Pharmacist | 9294 State Route 249, Edgerton, OH 43517-9556 | 2008-08-12 |
| 1376158808 | Lauren Cartledge | Pharmacist | 1011 N Main St, Edgerton, WI 53534-1325 | 2020-09-11 |
| 1295007821 | Kevin C Trampe | Pharmacist | 1011 N Main St, Edgerton, WI 53534-1325 | 2012-01-27 |
| 1841588001 | Joseph David Riebe | Pharmacist | 711 N Main St, Edgerton, WI 53534-1530 | 2011-07-20 |
| 1396865416 | Lance Edward Wiese | Pharmacist | 711 N Main St, Edgerton, WI 53534-1530 | 2007-03-30 |
| 1083733448 | Eric Robert Gresens | Pharmacist | 711 N Main St, Edgerton, WI 53534-1530 | 2007-03-28 |
| 1114046588 | Terry E Johnson | Pharmacist | 711 N Main St, Edgerton, WI 53534-1530 | 2007-03-28 |
| 1679692057 | Jenna N Gresens | Pharmacist | 711 N Main St, Edgerton, WI 53534-1530 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1346841822 | Tam Dinh | Pharmacist | 7480 Karth Ct, Franklin, WI 53132-8509 | 2020-11-02 |
| 1356940845 | Colette A. Probasco | Pharmacist | N1021 Blues Ln, Hortonville, WI 54944-9265 | 2020-10-26 |
| 1104425784 | Seang Foo | Pharmacist | 875 E Wisconsin Ave # Ms 2870, Milwaukee, WI 53202-5404 | 2020-10-23 |
| 1053910067 | Mary Ellen F Pumper | Pharmacist | 861 County Rd F, Berlin, WI 54923 | 2020-10-21 |
| 1609475607 | Suchart Thammahong | Pharmacist | 734 Mclean Drive, Madison, Wi, WI 53718 | 2020-10-21 |
| 1427657493 | Sarah R. Kozikowski | Pharmacist | 226100 Rib Mountain Dr, Wausau, WI 54401-3346 | 2020-10-21 |
| 1063011252 | Kelsey Eickstaedt | Pharmacist | 15594 State Hwy 77, Hayward, WI 54843 | 2020-10-20 |
| 1295334373 | James Michael Branning | Pharmacist | 226200 Rib Mountain Dr, Wausau, WI 54401-3347 | 2020-10-20 |
| 1174122576 | Paul Suiven Mbinglo | Pharmacist | 6237 94th Ct, Kenosha, WI 53142-8225 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
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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.