Blake Gibson
Blake Gibson is a Psychiatry in Pittsburgh, Pennsylvania. Qualified in 2011, 15 years ago. Practices with West Virginia University Medical Corporation, a 1,981-clinician group and accepts Medicare assignment. Licensed in West Virginia.
- Years since qualifying
- 15
- Licensed in
- WV
- In the registry since
- 2017
Practice location Address checks out
3600 Forbes Avenue Forbes Tower- Plz Ste 140Pittsburgh, PA 15213
Phone: (412) 647-6340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Child & Adolescent Psychiatry Physician (primary) | Taxonomy 2084P0804X · Licence 32707 (WV) |
|---|
Record details
| NPI number | 1750801981 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 20, 2017 |
| Last updated in NPPES | September 19, 2023 |
| Certification date | September 19, 2023 |
| Mailing address | 3600 Forbes Avenue, Forbes Tower- Plaza Suite 140, Pittsburgh, PA 15213 |
Medicare enrollment
| Medicare specialty | PSYCHIATRY |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | West Virginia University Medical Corporation — 1981 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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