RANDOLPH D. GIBBS, II M.D. – NPI #1053672675
Surgery

A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Health Care Provider Taxonomy Code for Surgery

RANDOLPH GIBBS, II is a surgeon located in BRYAN, TX. NPPES has assigned the NPI number 1053672675 to RANDOLPH GIBBS, II on May 30, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0105X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Surgery of the Hand

The NPI profile was previously updated about 5 years ago on May 18, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RANDOLPH GIBBS, II below.

NPI Profile for
RANDOLPH D. GIBBS, II

NPI Number
1053672675
Enumeration Date

(more than 14 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RANDOLPH D. GIBBS, II
Credentials
M.D.
Primary location
3201 UNIVERSITY DR E STE 320
BRYAN, TX 77802-3478
Phone: (979) 704-5029 Fax: (979) 704-5033
Mailing address
3201 UNIVERSITY DR E STE 455
BRYAN, TX 77802-3478
Phone: (979) 704-5029 Fax: (979) 704-5033
Sole Proprietor
No
Updated
Certification Date
May 18, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0105X
- Surgery / Surgery of the Hand (Primary)		 TX R5119

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE - Graduated 2006
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
RANDOLPH GIBBS, II is affiliated with the following medical group(s):
  • HOSPITAL
    • CHI ST JOSEPH HEALTH REGIONAL HOSPITAL
      2801 FRANCISCAN DR
      BRYAN, TX 77802
    • PHYSICIANS CENTRE,THE
      3131 UNIVERSITY DRIVE EAST
      BRYAN, TX 77802

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