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Contact Information

BRENNA A GIBBONS, MD
1121 BELL WEST BLVD
BELEVILLE, WI53508
 Phone: 608-424-3384
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Hospitalist

208M00000X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for BRENNA A GIBBONS · (Female)

NPI # 1083176861
Status Active
Credentials MD
Entity Individual
Enumeration date 04/02/2019
Last updated 11/10/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 74034-20
  • WI License # 7766-851
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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