W. Brent Gillespie, D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

1084 Issued in TX

Practice address

19222 Stonehue Ste 104
San Antonio, TX 78258-3454

Phone

(210) 490-6408

Fax

(210) 490-6419

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1144331083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19222 STONEHUE STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583454",
            "telephone_number": "210-490-6408",
            "fax_number": "210-490-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19222 STONEHUE STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583454",
            "telephone_number": "210-490-6408",
            "fax_number": "210-490-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "W.",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1084",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "TX",
            "license": "1084",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127195904",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marianela Gille, M.D.
• Andy Gillen
• James A Gilles, DDS
• Jason R Gillespie, B.S., D.D.S., M.S.
• Maria Gillespie, FNP
• James S. Gilley, M.D.
• Christine Lanee Gilliam, MD
• Rebecca R. Gilliam, AGACNP-BC
• Shatoya Eshelle Gilliam
• Julee A Gilliland-Castillo, RPH

• Foot Surgery Podiatrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Foot Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.