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

Mary Alyssa Gibson, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710674536

Mary Alyssa Gibson, DO is a Family Practice in Hartford, Connecticut. Qualified in 2023, 3 years ago. Registered with an NPI since 2023.

Years since qualifying
3
In the registry since
2023
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

99 Woodland St
Hartford, CT 06105-1207
Phone: (860) 714-4212
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1710674536
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 21, 2023
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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