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

Mr. Bryan R Gibb, PA-C

Individual provider Physician Assistant · NPI 1063014413

Mr. Bryan R Gibb, PA-C is a Physician Assistant in Ithaca, New York. Graduated from State University of Ny Upstate Medical University in 2020, 6 years ago. Practices with Cayuga Medical Associates PC, a 277-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Trained at
State University of Ny Upstate Medical University
Licensed in
NY
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

16 Brentwood Dr Ste A
Ithaca, NY 14850-1863
Phone: (607) 272-7000
Fax: (607) 272-4604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (NY)

Record details

NPI number1063014413
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 11, 2020
Last updated in NPPESDecember 3, 2020
Certification dateDecember 3, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2020 (6 years in practice)
Group practice Cayuga Medical Associates Pc — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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