Individual provider Active NPI

Harry Lavern Gale II, DO

  • Internal Medicine Physician
  • Cottonwood, AZ
National Provider Identifier
1194825828
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2772 Issued in AZ
Practice address
450 S Willard St Ste 103
Cottonwood, AZ 86326-6744
Phone
(928) 634-9573
Fax
(928) 634-0135
NPI assigned
Sep 23, 2006
Reactivated
Oct 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2772 AZ Primary

Addresses

Primary practice location

450 S Willard St Ste 103
Cottonwood, AZ 86326-6744

Mailing address

450 S Willard St Ste 103
Cottonwood, AZ 86326-6744
Phone (928) 634-9573

Other practice location 1

12075 E State Route 69
Dewey, AZ 86327-4517
Phone (928) 772-1673

Other identifiers 1

IdentifierTypeStateIssuer
137275002MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040329001484 AZ Practitioner - Internal Medicine 9133011521 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians
Phoenician Medical Center IncGroup PAC ID 0547169708, 36 clinicians

Practice addresses (Care Compare)

203 S Candy LN
Suite 3a
Cottonwood, AZ 86326-8106
Phone (928) 634-9573

95 Soldiers Pass Rd
Suite B2
Sedona, AZ 86336-4712
Phone (928) 862-2803

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2772AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Specialists of Prescott Valley Arizona,PC CurrentSince Apr 1, 2004 Accepting new patients
Prescott Healthcare Solutions LLC CurrentSince Mar 7, 2022 Accepting new patients
Mikrut Physical Therapy LLC Past Accepting new patients

Locations

203 S Candy Ln
Ste 3B
Cottonwood, AZ 86326
Phone (928) 634-9573

450 S Willard St
Ste 103
Cottonwood, AZ 86326
Phone (928) 634-4231

856 Cove Pkwy
Ste C
Cottonwood, AZ 86326
Phone (928) 649-0551

203 S Candy Ln
Ste 3A
Cottonwood, AZ 86326
Phone (502) 639-0110

12075 E State Route 69
Dewey, AZ 86327
Phone (928) 404-1488

3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583

3223 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 772-1510

3251 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 772-2582

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1194825828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S WILLARD ST STE 103",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863266744",
            "telephone_number": "928-634-9573",
            "fax_number": "928-634-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S WILLARD ST STE 103",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863266744",
            "telephone_number": "928-634-9573",
            "fax_number": "928-634-0135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12075 E State Route 69",
            "address_purpose": "LOCATION",
            "city": "Dewey",
            "state": "AZ",
            "postal_code": "863274517",
            "country_code": "US",
            "telephone_number": "928-772-1673",
            "fax_number": "928-772-1674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALE",
        "first_name": "HARRY",
        "middle_name": "LAVERN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "deactivation_date": "2021-05-20",
        "reactivation_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "2772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137275002",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

Verify at the official NPI Registry.