Merlyn D Gibson, MD is a
Radiology - Diagnostic Radiology physician based in Broomfield, Colorado. Merlyn D Gibson is licensed to practice in Colorado (license number DR.0024218) and his current practice location is 1765 Tiverton Ave, Broomfield, Colorado. He can be reached at his office (for appointments etc.) via phone at
(952) 595-1100.
NPI number for Merlyn D Gibson is 1124044565 and his current mailing address is 11995 Singletree Ln, Ste 500, Eden Prairie, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124044565.
Physician's Profile
Full Name | Merlyn D Gibson |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 1765 Tiverton Ave, Broomfield, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124044565
- Provider Enumeration Date: 07/15/2006
- Last Update Date: 04/14/2016
Medical Identifiers
Medical identifiers for Merlyn D Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124044565 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 21787 (Nebraska) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | DR.0024218 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Merlyn D Gibson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Merlyn D Gibson, MD 11995 Singletree Ln, Ste 500, Eden Prairie, MN 55344-5347 Ph: (952) 595-1301 | Merlyn D Gibson, MD 1765 Tiverton Ave, Broomfield, CO 80023-9310 Ph: (952) 595-1100 |
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