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BRIAN T. MCKIBBEN, MD
NPI 1447641592
Colon & Rectal Surgery in Jacksonville, FL

Active since February 11, 2015
1515 MAY ST, JACKSONVILLE, FL 32204(904) 353-5921(904) 353-5920 Get Directions Write a Review

NPPES record last updated: February 11, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brian T. Mckibben, Md NPPES

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

BRIAN T. MCKIBBEN, MD (NPI 1447641592) is a healthcare organization registered as a colon & rectal surgery in Jacksonville, Florida and active in the NPI registry since February 2015. The organization lists Brian Thomas Mckibben, Healthcare Provider, as its authorized official.

NPPES Registry Identity

NPI1447641592
Entity TypeOrganization
Primary Taxonomy208C00000X
Legal Business NameBRIAN T. MCKIBBEN, MD
Location Address1515 MAY STJacksonville, FL 32204-4007
Mailing Address1515 May StJacksonville, FL 32204-4007 · (904) 353-5921 · Fax (904) 353-5920
Phone(904) 353-5921
Fax(904) 353-5920
Organization SubpartNo
Authorized OfficialBrian Thomas MckibbenHealthcare Provider · (904) 353-5921
Enumeration DateFebruary 11, 2015
✔ NPI 1447641592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in FL · ME40936
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
1515 MAY ST, Jacksonville, FL 32204
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Other Identifiers 3

Medicare PIN07162FL
Medicaid050010100FL
Medicare UPIND51868FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. BRIAN THOMAS MCKIBBEN M.D.
Colon & Rectal Surgery
1515 MAY ST
JACKSONVILLE, FL 32204
Duval County (904) 353-5921

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 Brian T. Mckibben, MD's NPI number?

The NPI number for Brian T. Mckibben, MD is 1447641592. It was assigned to this organization in the NPPES registry on February 11, 2015.

Where is Brian T. Mckibben, MD located?

Brian T. Mckibben, MD is located at 1515 May St, Jacksonville, FL 32204. The listed phone number is (904) 353-5921.

What is Brian T. Mckibben, MD's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

When was this NPI record last updated?

The NPPES record for Brian T. Mckibben, MD was last updated on February 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.