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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1487090528

Wendell Andrew Gibby, MD is a Diagnostic Radiology in Provo, Utah. Qualified in 2013, 13 years ago. Practices with Faith Regional Physician Services LLC, a 191-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
13
Licensed in
UT
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3152 N University Ave Dept OF
Provo, UT 84604-4745
Phone: (801) 229-2002
Fax: (202) 877-3288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 9875187-1205 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1487090528
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 16, 2013
Last updated in NPPESJuly 10, 2019

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Faith Regional Physician Services Llc — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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