Active NPI
Harry Lavern Gale II, DO
- Internal Medicine Physician
- Cottonwood, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2772
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137275002 | Medicaid | AZ |
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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2772 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine Specialists of Prescott Valley Arizona,PC | Current | Accepting new patients | |
| Prescott Healthcare Solutions LLC | Current | 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.
-
dba Optima Medical
- Family Medicine Physician
- Prescott, AZ
- NPI 1821454505
-
dba East Valley Family Medical and 21st Century Family Medicine
- Family Medicine Physician
- Chandler, AZ
- NPI 1891895637
-
- Health Service Clinic/Center
- Prescott Valley, AZ
- NPI 1558548487
-
- Physical Therapy Clinic/Center
- Prescott, AZ
- NPI 1649223306
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
-
dba Northern Arizona Healthcare - Sedona
- General Acute Care Hospital
- Sedona, AZ
- NPI 1538608716
-
dba Yavapai Regional Medical Center
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.