NPI

Brandon Gibson

NPI 1437851466

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
DPM
Type
Individual
Enumeration date
2023-03-21
Last updated
2026-06-29

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Specialties

Licenses

License OH
36.004224

Location

Practice location
13207 Ravenna Rd
City
Chardon OH
Postal code
44024-7032
Phone
(440) 285-6000

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Chardon, OH. 1,272 records in the public file.

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