Cameron Kyle Gallaher, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1086 Issued in WV

Practice address

15630 N Preston Hwy
Bruceton Mills, WV 26525-7036

Phone

(304) 379-7000

NPI assigned

Jul 20, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bruceton Wellness Center PLLC

  • Chiropractor
  • Bruceton Mills, WV
  • NPI 1902242290
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1083394571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4147 VICTORY AVE",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263548063",
            "telephone_number": "304-694-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15630 N PRESTON HWY",
            "city": "BRUCETON MILLS",
            "state": "WV",
            "postal_code": "265257036",
            "telephone_number": "304-379-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAHER",
        "first_name": "CAMERON",
        "middle_name": "KYLE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "1086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Edmunds, PHARMD
• Cherie Lynn Eicher
• Catherine Eubanks
• Jacqueline Fox
• Alysia Renee Funk, FNP-BC
• Jordan Gardo
• Peggy Marie Garletts
• Harned Memorial Medical Clinic Inc
• Max A Harned, MD FAAP PHD
• Heather Marie Hartsell, MSN, APRN, FNP-C

• Chiropractor in Bruceton Mills, WV
• Providers in Bruceton Mills, WV by specialty
• Chiropractor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.