1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Chiropractor
  6. NPI Profile

DR. FRED LLOYD GIBSON IV DC
NPI 1578077228
Chiropractor in Jacksonville, FL

Active since November 16, 2017
12627 SAN JOSE BLVD STE 305, JACKSONVILLE, FL 32223(904) 683-4376 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 28, 2020, Nov 16, 2017 (2 updates tracked since 2017).

About Dr. Fred Lloyd Gibson Iv Dc NPPES

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

DR. FRED LLOYD GIBSON IV DC (NPI 1578077228) is an individual chiropractor in Jacksonville, Florida, licensed in Florida (12141) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1578077228
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. FRED LLOYD GIBSON IVCredential: DC
Location Address12627 SAN JOSE BLVD STE 305Jacksonville, FL 32223-8639
Mailing Address379 Lake Kathryn CirCasselberry, FL 32707-3001 · (407) 949-7037
Phone(904) 683-4376
Sole ProprietorNo
Enumeration DateNovember 16, 2017
Last NPPES UpdateSeptember 26, 20232 updates tracked since enumeration
NPPES CertifiedJune 29, 2023
✔ NPI 1578077228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · 12141
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
12627 SAN JOSE BLVD STE 305, Jacksonville, FL 32223
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Providence Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES

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

SUMMIT INTEGRATIVE HEALTH, LLC
General Practice
12627 SAN JOSE BLVD STE 305
JACKSONVILLE, FL 32223
Duval County (904) 683-4376

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 Fred Gibson's NPI number?

The NPI number for Fred Gibson is 1578077228. It was assigned to this individual provider in the NPPES registry on November 16, 2017.

Where is Fred Gibson located?

Fred Gibson practices at 12627 San Jose Blvd Ste 305, Jacksonville, FL 32223. The listed phone number is (904) 683-4376.

What is Fred Gibson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

What insurance does Fred Gibson accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Providence Health Plan and Wellpoint list Fred 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 Fred Gibson was last updated on September 26, 2023. 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.