Larry Gideon, M D
Larry Gideon, M D is a healthcare organization registered as Family Medicine Physician in Memphis, MI, holding Type 2 (organization) NPI 1255533386 since 2007. The authorized official on file is Larry Gideon, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1255533386 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Larry Gideon, M D |
| Practice address | 609 BUNNELL M 19, Memphis, MI, 48041 |
| Phone | 8103922192 |
| Enumeration date | 2007-06-01 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Larry Gideon |
|---|---|
| Title | President |
| Phone | 8103922192 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | LG407549 | MI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LG407549 | Other | MI | STATE LICENCE |
Copy-ready billing details
Provider: Larry Gideon, M D NPI: 1255533386 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 609 BUNNELL M 19, Memphis, MI, 48041
Verify this record
Cross-check NPI 1255533386 against the authoritative CMS record: view Larry Gideon, M D on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Larry Gideon, M D located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.