MEDICARE: DAVID BENJAMIN GIBSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	40059	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00322634	OTHER	TN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114037306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID BENJAMIN GIBSON MD

Provider Business Mailing Address
First Line	:	6029 WALNUT GROVE RD
Second Line	:	SUITE 404
City	:	MEMPHIS
State	:	TN
Zip	:	38120-2112
Country	:	US
Telephone Number	:	901-726-1056
Fax Number	:	901-726-5867

Provider Business Practice Location Address
First Line	:	2996 KATE BOND RD
Second Line	:	SUITE 309
City	:	BARTLETT
State	:	TN
Zip	:	38133-4030
Country	:	US
Telephone Number	:	901-726-1056
Fax Number	:	901-726-5867

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	12/12/2007

Similar Medicare Providers

1982602785 — WILLIAM K WALSH M.D.
Practice Location Address:

2996 KATE BOND RD , SUITE 207
BARTLETT, TN
38133-4030

Practice Phone: 901-379-0703
Practice Fax: 901-379-0532

1891768040 — TERRI L HYATT MD
Practice Location Address:

2996 KATE BOND RD , STE 405
BARTLETT, TN
38133-4030

Practice Phone: 901-386-4423
Practice Fax: 901-333-8056

1932166725 — DR. GEORGE A BURGHEN MD
Practice Location Address:

2996 KATE BOND RD , SUITE 413
BARTLETT, TN
38133-4030

Practice Phone: 901-384-0065
Practice Fax: 901-266-1165

1033165063 — FAMILY MEDICINE GROUP, PLLC
Practice Location Address:

2996 KATE BOND RD , SUITE 405
BARTLETT, TN
38133-4030

Practice Phone: 901-386-4423
Practice Fax: 901-333-8056

1225072044 — MRS. GOTTUMUKKALA SUNEELA M.D.
Practice Location Address:

2996 KATE BOND RD , SUITE 203
BARTLETT, TN
38133-4030

Practice Phone: 901-382-2044
Practice Fax: 901-382-2085

1639114671 — BELINDA LOUISE HILLIARD FNP
Practice Location Address:

2996 KATE BOND RD , STE 413
BARTLETT, TN
38133-4030

Practice Phone: 901-384-0065
Practice Fax: 901-266-1165

Directions to “ DAVID BENJAMIN GIBSON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.