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GLENN GREGORY GIBBONS MD
NPI 1053308874
Family Medicine in Fort Smith, AR

Active since October 06, 2005
811 N B ST, FORT SMITH, AR 72901(479) 480-4850(479) 480-4833 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Glenn Gregory Gibbons Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENN GREGORY GIBBONS MD (NPI 1053308874) is an individual family medicine provider in Fort Smith, Arkansas, licensed in Arkansas (E3378) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1053308874
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGLENN GREGORY GIBBONSCredential: MD
Location Address811 N B STFort Smith, AR 72901-2129
Mailing Address811 N B StFort Smith, AR 72901-2129 · (479) 480-4850 · Fax (479) 480-4833
Phone(479) 480-4850
Fax(479) 480-4833
Sole ProprietorNo
Enumeration DateOctober 6, 2005
Last NPPES UpdateJune 11, 2025
NPPES CertifiedJune 11, 2025
✔ NPI 1053308874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AR · E3378
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
811 N B ST, Fort Smith, AR 72901
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Other Identifiers 2

Medicaid148914001AR
Medicaid200004590AOK

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PREMISE HEALTH OF ARKANSAS MEDICAL P A
Clinic/Center (Primary Care)
811 N B ST
FORT SMITH, AR 72901
Sebastian County (615) 468-3188
VERACITY ONSITE LLC
Family Medicine
811 N B ST
FORT SMITH, AR 72901
Sebastian County (479) 480-4850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn Gibbons's NPI number?

The NPI number for Glenn Gibbons is 1053308874. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is Glenn Gibbons located?

Glenn Gibbons practices at 811 N B St, Fort Smith, AR 72901. The listed phone number is (479) 480-4850.

What is Glenn Gibbons's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Glenn Gibbons was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.