Provider Demographics
NPI:1679634869
Name:GIBBS, BARNETT T (MD, FACC)
Entity Type:Individual
Prefix:MR
First Name:BARNETT
Middle Name:T
Last Name:GIBBS
Suffix:
Gender:M
Credentials:MD, FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7603 FOREST AVENUE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229
Mailing Address - Country:US
Mailing Address - Phone:804-288-0134
Mailing Address - Fax:804-285-5165
Practice Address - Street 1:7603 FOREST AVENUE
Practice Address - Street 2:SUITE 202
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229
Practice Address - Country:US
Practice Address - Phone:804-288-0134
Practice Address - Fax:804-285-5165
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD063059L207RI0200X
MDD0075356207RC0000X
VA0101259014207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease