MERLYN D GIBSON MD NPI 1124044565

NPI Information

NPI: 1124044565
Provider Name: MERLYN D GIBSON, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
1765 TIVERTON AVE
BROOMFIELD, CO
ZIP 80023
Phone: (952) 595-1100
Get Directions

Merlyn D Gibson, MD is a diagnostic radiology radiology in Broomfield, CO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Merlyn D Gibson, MD NPI is 1124044565. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1765 TIVERTON AVE
BROOMFIELD, CO
ZIP 80023-310
Phone: (952) 595-1100
Fax: (612) 294-4903

The NPI 1124044565 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 4/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	21787	NEBRASKA	No
2	2085R0202X	Radiology	Diagnostic Radiology	DR.0024218	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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