Individual
DR. MICHAEL G GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4515 SOUTHLAKE PKWY STE 200, HOOVER, AL 35244-3319
(205) 313-7246
(205) 939-1911
Mailing address
4515 SOUTHLAKE PKWY, SUITE 200, HOOVER, AL 35244-3319
(205) 313-7246
(205) 939-1911
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
17424
AL
207LP2900X
Pain Medicine (Anesthesiology) Physician
17424
AL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
17424
AL
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
17424
AL
208VP0000X
Pain Medicine Physician
17424
AL
208VP0014X
Interventional Pain Medicine Physician
Primary
17424
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0510 25521
BLUECROSSBLUESHIELD AL
AL
01
—
167883900
US DEPT OF LABOR
—
01
—
20-00232
UNITED HEALTHCARE
AL
05
—
529502690
—
AL
Enumeration date
01/16/2007
Last updated
10/31/2017
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