BRIAN T. MCKIBBEN, MD
NPI 1447641592
Colon & Rectal Surgery in Jacksonville, FL
- Organization
- Colon & Rectal Surgery
About BRIAN T. MCKIBBEN, MD
This page provides the complete NPI Profile along with additional information for Brian T. Mckibben, Md, a provider established in Jacksonville, Florida operating as a Colon & Rectal Surgery. The healthcare provider is registered in the NPI registry with number 1447641592 assigned on February 2015. The practitioner's primary taxonomy code is 208C00000X with license number ME40936 (FL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Brian Thomas Mckibben M.d. (Healthcare Provider)
- NPI
- 1447641592 Verify this NPI
- Provider Name
- BRIAN T. MCKIBBEN, MD
- Entity Type
- Organization
- Location Address
- 1515 MAY ST JACKSONVILLE, FL 32204
- Location Phone
- (904) 353-5921
- Location Fax
- (904) 353-5920
- Mailing Address
- 1515 MAY ST JACKSONVILLE, FL 32204
- Mailing Phone
- (904) 353-5921
- Mailing Fax
- (904) 353-5920
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-11-2015
- Last Update Date
- 02-11-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Colon & Rectal Surgery
- Taxonomy Code
- 208C00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME40936
- License State
- FL
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 07162 | MEDICARE PIN (08) | FL | |
| 050010100 | MEDICAID (05) | FL | |
| D51868 | MEDICARE UPIN (02) | FL |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447641592, enumerated as an "organization" on February 11, 2015.
The provider is located at 1515 MAY ST JACKSONVILLE, FL 32204 and the phone number is (904) 353-5921.
Colon & Rectal Surgery with taxonomy code 208C00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
