Individual provider Active NPI

Gary W Chandler, DPM

  • Podiatrist
  • Burleson, TX
National Provider Identifier
1144269853
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0929 Issued in TX
Practice address
809 SW Alsbury Blvd Ste 4
2696 Pinnacle
Burleson, TX 76028-9201
Phone
(817) 295-3799
Fax
(817) 295-4530
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0929 TX Primary

Addresses

Primary practice location

809 SW Alsbury Blvd Ste 4
2696 Pinnacle
Burleson, TX 76028-9201

Mailing address

809 SW Alsbury Blvd Ste 4
2696 Pinnacle
Burleson, TX 76028-9201
Phone (817) 295-3799

Other identifiers 3

IdentifierTypeStateIssuer
480021805OtherTXRAILROAD
127206401MedicaidTX
00JD55OtherTXBLUE CROSS BLUE SHEILD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070728000016 TX Practitioner - Podiatry 4880795293 Practice locations: Burleson, TX
O20100930060039 TX DME Supplier - Physician - Podiatry 5698896538 Practice locations: Burleson, TX

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

809 SW Alsbury
Suite 4
Burleson, TX 76028-9201
Phone (817) 295-3799

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue18
Removal of skin lesions1-10
Removal of nail tissue1171
Removal or shaving of skin growth447
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
929TXMDMedical Physician Assistant

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1144269853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 SW ALSBURY BLVD STE 4",
            "address_2": "2696 PINNACLE",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760289201",
            "telephone_number": "817-295-3799",
            "fax_number": "817-295-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 SW ALSBURY BLVD STE 4",
            "address_2": "2696 PINNACLE",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760289201",
            "telephone_number": "817-295-3799",
            "fax_number": "817-295-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "GARY",
        "middle_name": "W",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "0929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "480021805",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127206401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "00JD55",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.