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

Antonio L Gibson Sr.

Individual provider Vehicle Modifications Contractor · NPI 1508624016

Antonio L Gibson Sr. is a Vehicle Modifications Contractor in Greenfield, Indiana. Licensed in Indiana. Registered with an NPI since 2024.

Licensed in
IN
In the registry since
2024
Specialties on file
2

Practice location Address checks out

594 Geronimo Dr
Greenfield, IN 46140-9375
Phone: (317) 413-8137
Show map & directions

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

Specialties & licences

Vehicle Modifications Contractor (primary) Taxonomy 171WV0202X · Licence 202303151673406 (IN)
Driver Taxonomy 172A00000X · Licence 202303151673406 (IN)

Record details

NPI number1508624016
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 8, 2024
Last updated in NPPESMarch 14, 2024
Certification dateMarch 14, 2024
Mailing address594 Geronimo Dr, Greenfield, IN 46140-9375