Randolph D Gibbs Ii (NPI# 1053672675, PAC ID# 6204061047) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HAND SURGERY.
Nation Provider ID (NPI) | 1053672675 |
PAC ID by PECOS | 6204061047 |
Professional Enrollment ID | I20180213000770 |
Full Name | Randolph D Gibbs Ii |
Organization Legal Name | BRAZOS VALLEY PHYSICIANS ALLIANCE |
Address |
3201 University Dr E Bryan TX 77802-3475 |
Phone Number | 9797313930 |
Gender | M |
Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2006 |
Primary Specialty | HAND SURGERY |
Group Practice PAC ID | 1052604006 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
450834 | PHYSICIANS CENTRE,THE |
450011 | CHI ST JOSEPH HEALTH |
Address | Phone | Organization |
---|---|---|
3201 University Dr E, Bryan, TX 77802-3475 | 9797313930 | BRAZOS VALLEY PHYSICIANS ALLIANCE |
Organization Legal Name | BRAZOS VALLEY PHYSICIANS ALLIANCE |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
James S Distefano | Family Medicine | Brazos Valley Physicians Alliance | 3201 University Dr E, Bryan, TX 77802-3475 |
Colten Christopher Luedke | Orthopedic Surgery | Brazos Valley Physicians Alliance | 3201 University Dr E, Suite 320, Bryan, TX 77802-3478 |
Street Address |
3201 UNIVERSITY DR E |
City | BRYAN |
State | TX |
Zip | 77802-3475 |
Name | Specialty | Organization | Address |
---|---|---|---|
Wade W Whitmer | Orthopedic Surgery | 3201 University Dr E, Suite 175, Bryan, TX 77802-3480 | |
James V Bonds Jr. | Internal Medicine | 3201 University Dr E, Suite 360, Bryan, TX 77802-3478 | |
Elizabeth Suarez | Family Medicine | St Joseph Regional Health Center | 3201 University Dr E, 425 Chi St Joseph Health Primary Care, Bryan, TX 77802-3479 |
Justin D Hancock | Physician Assistant | Dcs Medical Pa | 3201 University Dr E, Suite 135, Bryan, TX 77802-3481 |
David P Buras | Internal Medicine | 3201 University Dr E, Suite 345, Bryan, TX 77802-3484 | |
Warren Roquet | Family Medicine | 3201 University Dr E, Suite 345, Bryan, TX 77802-3484 | |
Jonathan R Bourland | Physician Assistant | Dcs Medical Pa | 3201 University Dr E, Suite 135, Bryan, TX 77802-3481 |
Kristen M Meaders | Physician Assistant | Dcs Medical Pa | 3201 University Dr E, Suite 135, Bryan, TX 77802-3481 |
April Hedrick | Occupational Therapy | 3201 University Dr E, Suite 365, Bryan, TX 77802-3485 | |
Elise C Applegate | Physician Assistant | Dcs Medical Pa | 3201 University Dr E, Suite 135, Bryan, TX 77802-3481 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
George Raymond Gibson Iii | Emergency Medicine | Bryan Emergency Physicians Pa | 2801 Franciscan, Bryan, TX 77802 |
Luke Robert Murphy | Emergency Medicine | Bryan Emergency Physicians Pa | 2801 Franciscan, Bryan, TX 77802 |
Richard James Stephenson | Chiropractic | 322 N Main St, Bryan, TX 77802 | |
Ryan William Turkington | Emergency Medicine | Bryan Emergency Physicians Pa | 2801 Franciscan, Bryan, TX 77802 |
Tiffany D Riordan | Emergency Medicine | Bryan Emergency Physicians Pa | 2801 Franciscan, Bryan, TX 77802 |
Ruth Ann Trevino | Emergency Medicine | Bryan Emergency Physicians Pa | 2801 Franciscan, Bryan, TX 77802 |
Aaron Buzzard | Emergency Medicine | Bryan Emergency Physicians Pa | 2801 Franciscan, Bryan, TX 77802 |
William J Smith Jr. | Nurse Practitioner | Bryan Emergency Physicians Pa | 2801 Franciscan, Bryan, TX 77802 |
Bryan Pickett | Emergency Medicine | Bryan Emergency Physicians Pa | 2801 Franciscan, Bryan, TX 77802 |
Paul S Goen | Emergency Medicine | Bryan Emergency Physicians Pa | 2801 Franciscan, Bryan, TX 77802 |
Find all physicians in zip 77802 |
City | BRYAN |
Zip Code | 77802 |
Specialty | HAND SURGERY |
City + Specialty | BRYAN + HAND SURGERY |
Please comment or provide details below to improve the information on Randolph D Gibbs Ii.
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.