Individual
DR. JEFFREY BROOKS GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4230 HARDING PIKE STE 530, NASHVILLE, TN 37205-2094
(615) 329-7878
(615) 329-7899
Mailing address
300 20TH AVE N STE 403, NASHVILLE, TN 37203-5180
(615) 329-7878
(615) 329-7899
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30960
TN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD30960
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143172
UNISON TENNCARE
TN
01
—
26144
TLC TENNCARE
TN
05
—
3881790
—
TN
01
—
4061335
BCBS OF TN
TN
Enumeration date
06/02/2005
Last updated
01/13/2022
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