Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew R Gibson, IDC

Individual provider Independent Duty Corpsman · NPI 1053824649

Andrew R Gibson, IDC is an Independent Duty Corpsman in Newport, Rhode Island. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

43 Smith Rd
Newport, RI 02841
Phone: (401) 841-6737
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X (CA)

Record details

NPI number1053824649
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorYes
NPI enumeratedNovember 6, 2017
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025

Other providers in Newport