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DEIDRE BIBB
NPI 1891269056
Preventive Medicine - Sports Medicine in Tyler, TX

Active since January 21, 2019
1814 ROSELAND BLVD STE 100, TYLER, TX 75701(903) 525-3300 Get Directions Write a Review

NPPES record last updated: January 21, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Deidre Bibb NPPES

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

DEIDRE BIBB (NPI 1891269056) is an individual sports medicine provider in Tyler, Texas, licensed in Texas (120402065-AT2240) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1891269056
Entity TypeIndividualFemale
Primary Taxonomy2083S0010X
Provider Legal NameDEIDRE BIBB
Location Address1814 ROSELAND BLVD STE 100Tyler, TX 75701-4262
Mailing Address102 S Stewart StWhite Oak, TX 75693-1514 · (903) 570-0602
Phone(903) 525-3300
Sole ProprietorNo
Enumeration DateJanuary 21, 2019
✔ NPI 1891269056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083S0010X
License✔ Licensed in TX · 120402065-AT2240
Definition
A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
1814 ROSELAND BLVD STE 100, Tyler, TX 75701
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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.

KARLEY ANN RITCHIE
Physical Therapy Assistant
1814 ROSELAND BLVD STE 100
TYLER, TX 75701
Smith County (903) 525-3300
BRANDEE GILL RN
Registered Nurse
1814 ROSELAND BLVD STE 100
TYLER, TX 75701
Smith County (903) 525-3300

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 Deidre Bibb's NPI number?

The NPI number for Deidre Bibb is 1891269056. It was assigned to this individual provider in the NPPES registry on January 21, 2019.

Where is Deidre Bibb located?

Deidre Bibb practices at 1814 Roseland Blvd Ste 100, Tyler, TX 75701. The listed phone number is (903) 525-3300.

What is Deidre Bibb's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Sports Medicine, with taxonomy code 2083S0010X.

When was this NPI record last updated?

The NPPES record for Deidre Bibb was last updated on January 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.