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DR. BRANDON GIBSON DDS
NPI 1689381493
Dentist - General Practice in Playa Vista, CA

Active since November 01, 2022PECOS Enrolled
13020 PACIFIC PROMENADE UNIT 315, PLAYA VISTA, CA 90094(201) 988-4541 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2022, Nov 1, 2022 (2 updates tracked since 2022).

About Dr. Brandon Gibson Dds NPPES

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

DR. BRANDON GIBSON DDS (NPI 1689381493) is an individual general practice provider in Playa Vista, California, licensed in California (108336) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689381493
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRANDON GIBSONCredential: DDS
Location Address13020 PACIFIC PROMENADE UNIT 315Playa Vista, CA 90094-4019
Mailing Address13020 Pacific Promenade Unit 315Playa Vista, CA 90094-4019 · (201) 988-4541
Phone(201) 988-4541
Sole ProprietorYes
Enumeration DateNovember 1, 2022
Last NPPES UpdateDecember 6, 20222 updates tracked since enumeration
NPPES CertifiedDecember 6, 2022
✔ NPI 1689381493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 108336
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
13020 PACIFIC PROMENADE UNIT 315, Playa Vista, CA 90094
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brandon Gibson Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 90094 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Brandon Gibson's NPI number?

The NPI number for Brandon Gibson is 1689381493. It was assigned to this individual provider in the NPPES registry on November 1, 2022.

Where is Brandon Gibson located?

Brandon Gibson practices at 13020 Pacific Promenade Unit 315, Playa Vista, CA 90094. The listed phone number is (201) 988-4541.

What is Brandon Gibson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Brandon Gibson enrolled in Medicare?

Yes. Brandon Gibson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brandon Gibson was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.