Bruce R Gibson (NPI# 1003822784, PAC ID# 2264438902) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CRITICAL CARE (INTENSIVISTS).
| Nation Provider ID (NPI) | 1003822784 |
| PAC ID by PECOS | 2264438902 |
| Professional Enrollment ID | I20061019000594 |
| Full Name | Bruce R Gibson |
| Organization Legal Name | ST MARYS HOSPITAL OF ST MARYS COUNTY INC |
| Address |
25500 Point Lookout Rd Leonardtown MD 20650-2015 |
| Phone Number | 3014756428 |
| Gender | M |
| Credential | MD |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | CRITICAL CARE (INTENSIVISTS) |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 4789589912 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210028 | MEDSTAR SAINT MARY'S HOSPITAL |
| 210033 | CARROLL HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 | 3014756428 | ST MARYS HOSPITAL OF ST MARYS COUNTY INC |
| 200 Memorial Ave, Westminster, MD 21157-5726 | 4108716700 | EMERGENCY MEDICINE ASSOCIATES PA PC |
| Organization Legal Name | ST MARYS HOSPITAL OF ST MARYS COUNTY INC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ikenna Nwachukwu | Internal Medicine | St Marys Hospital of St Marys County Inc | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Rohit Khirbat | Internal Medicine | St Marys Hospital of St Marys County Inc | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Manjunath Markandaya | Critical Care (intensivists) | St Marys Hospital of St Marys County Inc | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Laila R Lalani | Internal Medicine | St Marys Hospital of St Marys County Inc | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Louis Edward Perraut Jr. | Ophthalmology | St Marys Hospital of St Marys County Inc | 37767 Market Dr, Charlotte Hall, MD 20622-3188 |
| Renee Marie Bernier | Neurology | St Marys Hospital of St Marys County Inc | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| David Allen | Internal Medicine | St Marys Hospital of St Marys County Inc | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Amir M Khan | Internal Medicine | St Marys Hospital of St Marys County Inc | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Michael Lapenta | Hospice/palliative Care | St Marys Hospital of St Marys County Inc | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Omid G Moayed | Critical Care (intensivists) | St Marys Hospital of St Marys County Inc | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Street Address |
25500 POINT LOOKOUT RD |
| City | LEONARDTOWN |
| State | MD |
| Zip | 20650-2015 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Thomas | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Thomas Jay Finkelston | Anesthesiology | Medstar Medical Group Anesthesiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Brian P Swehla | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| William M Mahaffey | General Surgery | Healogics Specialty Physicians of Maryland LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Mary G Walter | Nurse Practitioner | Axis Healthcare Group | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Kelly Petz | Certified Registered Nurse Anesthetist (crna) | Medstar Medical Group Anesthesiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Arie Neymotin | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Clyde W Pray | Anesthesiology | Medstar Medical Group Anesthesiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Elizabeth H Deoreo | Psychiatry | Axis Healthcare Group | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Ikenna Nwachukwu | Internal Medicine | St Marys Hospital of St Marys County Inc | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Marie Miller | Physician Assistant | Verghese and Ling M.d.p.a. | 26840 Point Lookout Rd, Leonardtown, MD 20650 |
| Sabrina A Sepulveda | Nurse Practitioner | 41630 Couthouse Dr, Leonardtown, MD 20650 | |
| Rhonda Cox | Occupational Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Danielle Luray Guy | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Bonnie L Torres | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Jeremy Thurman | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Lauren Snyder | Occupational Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Aaron Bauer | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Richard S Hageman | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Laura P Ward | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Find all physicians in zip 20650 | |||
| City | LEONARDTOWN |
| Zip Code | 20650 |
| Specialty | CRITICAL CARE (INTENSIVISTS) |
| City + Specialty | LEONARDTOWN + CRITICAL CARE (INTENSIVISTS) |
Please comment or provide details below to improve the information on Bruce R Gibson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.