IndividualActiveAccepts Medicare
Fred Gibson, DC
NPI 1578077228 · Chiropractor · Jacksonville, FL
Enrolled with Medicare as Practitioner - Chiropractic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1578077228
- Entity type
- Individual
- Primary specialty
- ChiropractorChiropractic Providers
- Credential
- DC
- Sex
- Male
- Sole proprietor
- No
- License
- 12141 (FL)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12627 San Jose Blvd Ste 305
Jacksonville, FL 32223-8639
Phone: (904) 683-4376
Street-level locationGet directions
Mailing address
379 Lake Kathryn Cir
Casselberry, FL 32707-3001
Registry dates
- Enumerated
- 2017-11-16
- Last updated
- 2023-09-26
- Certified
- 2023-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.