Daniel Bradley Gibbs (NPI# 1144582354, PAC ID# 8628372729) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1144582354 |
| PAC ID by PECOS | 8628372729 |
| Professional Enrollment ID | I20180912000758 |
| Full Name | Daniel Bradley Gibbs |
| Organization Legal Name | HEIDEN ORTHOPEDICS,LLC |
| Address |
2200 Park Ave Suite 100 Park City UT 84060-7246 |
| Phone Number | 4356158822 |
| Gender | M |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 2163589391 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460047 | ST MARK'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2200 Park Ave, Suite 100, Park City, UT 84060-7246 | 4356158822 | HEIDEN ORTHOPEDICS,LLC |
| 6360 S 3000 E, Suite 210, Salt Lake City, UT 84121-5798 | 4356158822 | HEIDEN ORTHOPEDICS,LLC |
| Organization Legal Name | HEIDEN ORTHOPEDICS,LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Enrique Feria-arias | Orthopedic Surgery | Heiden Orthopedics,llc | 2356 N 400, Suite 102, Tooele, UT 84074-3409 |
| Richard I Zipnick | Orthopedic Surgery | Heiden Orthopedics,llc | 2200 Park Ave, Suite 100, Park City, UT 84060-7246 |
| Karen D Heiden | Orthopedic Surgery | Heiden Orthopedics,llc | 2200 Park Ave, Suite 100, Park City, UT 84060-7246 |
| Whitney Lauren Schroeder | Physician Assistant | Heiden Orthopedics,llc | 2200 Park Ave, Suite 100, Park City, UT 84060-7246 |
| Amy C Delap | Physical Therapy | Heiden Orthopedics,llc | 2200 Park Ave, Suite 100, Park City, UT 84060-7246 |
| Lindsey E Marshall | Physician Assistant | Heiden Orthopedics,llc | 2200 Park Ave, Suite 100, Park City, UT 84060-7246 |
| Eric A Heiden | Orthopedic Surgery | Heiden Orthopedics,llc | 2200 Park Ave, Suite 100, Park City, UT 84060-7246 |
| Joseph J Albano | Family Practice | Heiden Orthopedics,llc | 6360 S 3000 E, Suite 210, Salt Lake City, UT 84121-5798 |
| Street Address |
2200 PARK AVE SUITE 100 |
| City | PARK CITY |
| State | UT |
| Zip | 84060-7246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard I Zipnick | Orthopedic Surgery | Heiden Orthopedics,llc | 2200 Park Ave, Suite 100, Park City, UT 84060-7246 |
| Karen D Heiden | Orthopedic Surgery | Heiden Orthopedics,llc | 2200 Park Ave, Suite 100, Park City, UT 84060-7246 |
| Whitney Lauren Schroeder | Physician Assistant | Heiden Orthopedics,llc | 2200 Park Ave, Suite 100, Park City, UT 84060-7246 |
| Amy C Delap | Physical Therapy | Heiden Orthopedics,llc | 2200 Park Ave, Suite 100, Park City, UT 84060-7246 |
| Lindsey E Marshall | Physician Assistant | Heiden Orthopedics,llc | 2200 Park Ave, Suite 100, Park City, UT 84060-7246 |
| Eric A Heiden | Orthopedic Surgery | Heiden Orthopedics,llc | 2200 Park Ave, Suite 100, Park City, UT 84060-7246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Reese Morrison | Family Medicine | Ihc Health Services Inc | 1493 Lowell Ave, Park City, UT 84060-5116 |
| Bradley Michael Prestwich | Family Medicine | Ihc Health Services Inc | 1665 Bonanza Dr, Park City, UT 84060-5127 |
| Jeffrey Horne Tingey | Family Medicine | Ihc Health Services Inc | 1665 Bonanza Dr, Park City, UT 84060-5127 |
| Lisa M Saturnino | Family Medicine | Ihc Health Services Inc | 1665 Bonanza Dr, Park City, UT 84060-5127 |
| Joshua Darrel Reid | Family Medicine | Ihc Health Services Inc | 1665 Bonanza Dr, Park City, UT 84060-5127 |
| Ronald H Lepley | Nurse Practitioner | Ihc Health Services Inc | 1665 Bonanza Dr, Park City, UT 84060-5127 |
| Jared Allen West | Family Medicine | Ihc Health Services Inc | 1665 Bonanza Dr, Park City, UT 84060-5127 |
| Natalie Brooke Hall | Family Medicine | Ihc Health Services Inc | 1665 Bonanza Dr, Park City, UT 84060-5127 |
| Christopher L Hays | Family Practice | Ihc Health Services Inc | 1665 Bonanza Dr, Park City, UT 84060-5127 |
| Nancy Bradish | Clinical Social Worker | 1700 Park Ave, Suite 2065, Park City, UT 84060-5162 | |
| Find all physicians in zip 84060 | |||
| City | PARK CITY |
| Zip Code | 84060 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | PARK CITY + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Daniel Bradley Gibbs.
| 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.