DR. ALFRED EARL GIBBONS JR. (NPI# 1922118314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922118314 |
| Entity Type | Individual |
| Full Name | DR. ALFRED EARL GIBBONS JR. |
| Credential | M. D |
| Practice Address |
3115 Pine Ave Suite 301 Waco TX 76708-3247 |
| Practice Telephone | 2547567044 |
| Practice Fax Number | 2547563779 |
| Mailing Telephone | 2547567044 |
| Mailing Fax Number | 2547563779 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | E4846 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS/BLUE SHIELD | 00T591 | 01 |
| Street Address |
3115 PINE AVE SUITE 301 |
| City | WACO |
| State | TX |
| Zip Code | 76708-3247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871583773 | Dianne Waddell Sawyer | Obstetrics & Gynecology | 3115 Pine Ave, Ste 903, Waco, TX 76708-3247 | 2005-10-24 |
| 1023255254 | Dermatology & Plastic Surgery Association, Inc. | Specialist | 3115 Pine Ave, Suite 908, Waco, TX 76708-3247 | 2009-01-09 |
| 1356515480 | Angela Nix Carter | Speech-Language Pathologist | 3115 Pine Ave, 808, Waco, TX 76708-3247 | 2008-04-18 |
| 1285756015 | Paul C. Redman, II, M.d. | Obstetrics & Gynecology | 3115 Pine Ave, Suite 708, Waco, TX 76708-3247 | 2007-04-04 |
| 1164551420 | Linda Ellen Branz | Nurse Practitioner | 3115 Pine Ave, Suite 708, Waco, TX 76708-3247 | 2007-03-05 |
| 1891870242 | Waco Pediatric Health Associates | Pediatrics | 3115 Pine Ave, 1006, Waco, TX 76708-3247 | 2006-10-26 |
| 1629175369 | Jeffrey Joseph Leinfelder | Ophthalmology | 3115 Pine Ave, Suite 202, Waco, TX 76708-3247 | 2006-09-17 |
| 1710084447 | Lewis Richard Kannwischer | Ophthalmology | 3115 Pine Ave, Suite 202, Waco, TX 76708-3247 | 2006-09-17 |
| 1811001951 | Robert A.m. Gardere | Plastic Surgery | 3115 Pine Ave, Ste#908, Waco, TX 76708-3247 | 2006-08-18 |
| 1902817448 | James Morris Smith | Pathology | 3115 Pine Ave, Suite 108, Waco, TX 76708-3201 | 2006-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868613 | Sarah Bogacz | Behavior Technician | 6824 Logue Lane, Bluesprig Pediatrics, Waco, TX 76708 | 2019-12-16 |
| 1700358215 | Albert Jacob Puente | Specialist/Technologist | 1101 North Q Ave, Clifton, TX 76708 | 2018-12-21 |
| 1437414810 | Cenikor Foundation | Substance Abuse Rehabilitation Facility | 3015 Herring Avenue, Waco, TX 76708 | 2012-07-11 |
| 1922393610 | Betty Hendricks | Nurse Practitioner | 4601 N 19th Street, Waco, TX 76708 | 2011-06-10 |
| 1023239498 | Esc Iv, Lp | Assisted Living Facility | 3801 Martin Luther King Jr Bvd, Waco, TX 76708 | 2007-05-01 |
| 1952429367 | Dod David Moore | Dentist | 10104 Saddle Creek Rd, Waco, TX 76708 | 2007-03-26 |
| 1851400295 | H-e-b, Lp | Clinical Medical Laboratory | 3801 N 19th St, Waco, TX 76708 | 2006-08-30 |
| 1972527257 | Meryl Burchardt | Nurse Practitioner | 2201 Macarthur, Suite 2200, Waco, TX 76708 | 2006-07-27 |
| 1669493292 | Central Texas Anesthesiology Associates Inc | Anesthesiology | 3000 Herring, Waco, TX 76708 | 2006-07-21 |
| 1679507768 | Russell L Mcclellan | Radiology | 3000 Herring Avenue, Waco, TX 76708 | 2006-07-11 |
| Find all providers in zip 76708 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710201926 | David J. Schickner, M.d., P.a. | Specialist | 1105 Wooded Acres Dr Ste 240, Waco, TX 76710-4449 | 2010-03-16 |
| 1588995070 | Browder Clinic, Pllc | Specialist | 7005 Woodway Dr, Suite 201, Waco, TX 76712-6169 | 2010-01-22 |
| 1578731840 | Waco Ob Gyn Associates | Specialist | 2124 N. 25th St, Waco, TX 76708-3317 | 2008-02-20 |
| 1073638748 | Stepping Stones Therapy, Pllc | Specialist | 3300 Pine Ave, Waco, TX 76708-3142 | 2007-03-20 |
| 1952314908 | William A. Peper | Specialist | 1000 W State Highway 6 Ste 420, Waco, TX 76712 | 2006-08-14 |
| 1588672760 | Sudhir Madisetty | Specialist | 1607 Lake Success Dr, Waco, TX 76710-2908 | 2006-08-04 |
| 1407861073 | Bret H Miller Md Pa Orthopaedic and Sports Medicine Specialists of Wac | Specialist | 300 Richland West Cir, Suite 1, Waco, TX 76712-7934 | 2006-07-30 |
| 1649294323 | Hillcrest Physician Services | Specialist | 50 Hillcrest Medical Blvd Ste 102, Waco, TX 76712-8953 | 2006-07-27 |
| 1790733038 | Johnny D. Howton Jr. | Specialist | 7110 Sanger Ave, Waco, TX 76712-3792 | 2006-05-05 |
| 1255399945 | Pramila K. Daftary | Specialist | 221 Jewell Dr, Waco, TX 76712-6630 | 2006-05-02 |
| Find all providers in WACO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.