Gibbon, Bruce N

Gibbon, Bruce N is an individual health care provider with primary practice located at 1 Medical Park Blvd , Bristol TN 37620-7430. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Gibbon, Bruce N can be contacted via phone (423) 844-2100.

Contact Information

Primary practice address
1 Medical Park Blvd Bristol TN 37620-7430
Phone: (423) 844-2100
Fax: (423) 844-2120
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 25099 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101250860 Virginia

Profile Details

NPI number 1730141698
LBN Legal business name Gibbon, Bruce N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Jul 7th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1730141698 NPPES
Tennessee MEDICAID 3867436

Popular Providers