Bruce Robert Gibson, MD | |
4940 Eastern Ave, Baltimore, MD 21224-2735 | |
(410) 550-0100 | |
Not Available |
Full Name | Bruce Robert Gibson |
---|---|
Gender | Male |
Speciality | Critical Care (intensivists) |
Experience | 25 Years |
Location | 4940 Eastern Ave, Baltimore, Maryland |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003822784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | D64840 (Maryland) | Primary |
207LC0200X | Anesthesiology - Critical Care Medicine | D64840 (Maryland) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Md Charles Regional Medical Center | La plata, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anacostia Medical Associates | 8123257821 | 25 |
Entity Name | St Paul Place Specialists, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871549196 PECOS PAC ID: 7719882943 Enrollment ID: O20031202000084 |
Entity Name | Emergency Medicine Associates Pa Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134117393 PECOS PAC ID: 8022914522 Enrollment ID: O20040126000955 |
Entity Name | Anacostia Medical Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376973362 PECOS PAC ID: 8123257821 Enrollment ID: O20190219000024 |
Mailing Address | Practice Location Address |
---|---|
Bruce Robert Gibson, MD 4940 Eastern Ave, A5e, Baltimore, MD 21224-2735 Ph: () - | Bruce Robert Gibson, MD 4940 Eastern Ave, Baltimore, MD 21224-2735 Ph: (410) 550-0100 |
Dr. Sabrina Christine Sopha, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 410-955-3580 | |
Dr. Samantha A Wolfe, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4940 Eastern Ave, Baltimore, MD 21224 Phone: 410-550-2370 Fax: 410-955-0035 | |
Dr. Evan Wong, MD, MPH, FRCSC Surgery Medicare: Medicare Enrolled Practice Location: 1800 Orleans St Ste 6107, Baltimore, MD 21287 Phone: 410-955-2244 | |
Georgios Antonios Margonis, MD, PHD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1800 Orleans Street - Tower 110, Baltimore, MD 21287 Phone: 443-440-1103 | |
Kenzo Hirose, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 410-955-6190 | |
Josue Alvarez Casas, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 29 S Greene St Ste 200, Baltimore, MD 21201 Phone: 410-328-5408 |