MR. BRAD GIBSON APRN
NPI 1205449261
Nurse Practitioner - Psychiatric/Mental Health in Centerville, OH

Active since August 28, 2020PECOS EnrolledAccepts Medicare Assignment
10552 SUCCESS LN STE L, CENTERVILLE, OH 45458(937) 280-5711 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2021, Aug 28, 2020 (2 updates tracked since 2020).

About Mr. Brad Gibson Aprn NPPES

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

MR. BRAD GIBSON APRN (NPI 1205449261) is an individual psychiatric/mental health provider in Centerville, Ohio, licensed in Ohio (APRN.CNP.0029637) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2021).

NPPES Registry Identity

NPI1205449261
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. BRAD GIBSONCredential: APRN
Location Address10552 SUCCESS LN STE LCenterville, OH 45458-3664
Mailing Address10552 Success Ln Ste LCenterville, OH 45458-3664 · (937) 280-5711
Sole ProprietorYes
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2021
Enumeration DateAugust 28, 2020
Last NPPES UpdateJanuary 24, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2024
NPI 1205449261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OH · APRN.CNP.0029637
10552 SUCCESS LN STE L, Centerville, OH 45458

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Brad Gibson Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628465374
PECOS Enrollment IDI20220427000701
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45458 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Practitioner (Psychiatric/Mental Health)
10552 SUCCESS LN STE L
CENTERVILLE, OH 45458
Technician, Pathology (Phlebotomy)
10552 SUCCESS LN STE L
CENTERVILLE, OH 45458

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 Brad Gibson's NPI number?

The NPI number for Brad Gibson is 1205449261. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Where is Brad Gibson located?

Brad Gibson practices at 10552 Success Ln Ste L, Centerville, OH 45458. The listed phone number is (937) 280-5711.

What is Brad Gibson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Brad Gibson enrolled in Medicare?

Yes. Brad Gibson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brad Gibson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 5 other insurers list Brad Gibson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brad Gibson was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.