Brian T. Mckibben, Md

LBN: Brian T. Mckibben, Md
Brian T. Mckibben, Md is an health care organization with primary practice located at 1515 May St , Jacksonville FL 32204-4007. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as the primary health care specialty. Brian T. Mckibben, Md can be contacted via phone (904) 353-5921, or through Mckibben, Brian Thomas via phone (904) 353-5921.

Contact Information

Primary practice address
1515 May St Jacksonville FL 32204-4007
Phone: (904) 353-5921
Fax: (904) 353-5920
Website:
Map and Directions
Authorized official contact:
Name: Mckibben, Brian Thomas Doctor of Medicine (MD)
Phone: (904) 353-5921

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X ME40936 Florida

Profile Details

NPI number 1447641592
LBN Legal business name Brian T. Mckibben, Md
DBA Doing business as
Authorized official Mckibben, Brian Thomas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2015
Last updated Feb 11th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447641592 NPPES
Florida MEDICAID 050010100

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