IndividualActive
Michael Gibbons, MD
NPI 1164378196 · Public Health & General Preventive Medicine Physician · Glenn Dale, MD
Provider details
- NPI number
- 1164378196
- Entity type
- Individual
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- D0106199 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
11312 Wycombe Park Ln
Glenn Dale, MD 20769-2029
Phone: (240) 350-4490
Approximate (ZIP-level) locationGet directions
Mailing address
8843 Greenbelt Rd # 103
Greenbelt, MD 20770-2451
Registry dates
- Enumerated
- 2026-03-10
- Last updated
- 2026-03-10
- Certified
- 2026-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.