# GRACE A GIBBS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1306866074
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | 5101015015 | MI | Yes |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 10/15/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0700532 | PHP | MI |
| 01 | — | 1020336 | MHP HAN | MI |
| 01 | — | 160C311260 | BCBSM CHOICE BCN COM BLUE | MI |
| 05 | — | 4865240 | — | MI |
| 05 | — | 7100349070 | — | KY |