Individual provider Active NPI

Brian M Gates, DO

  • Emergency Medicine Physician
  • Du Bois, PA
National Provider Identifier
1235365248
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS015917 Issued in PA
Practice address
100 Hospital Ave
Du Bois, PA 15801-1440
Phone
(814) 375-3471
Fax
(814) 375-3472
NPI assigned
Jun 4, 2009
Last updated
Jul 2, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS015917 PA Primary

Addresses

Primary practice location

100 Hospital Ave
Du Bois, PA 15801-1440

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-6351

Other identifiers 2

IdentifierTypeStateIssuer
102767396MedicaidPA
266757OtherPAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20130222000343 PA Practitioner - Emergency Medicine 4385899368 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elk Regional Health Center CurrentSince Jul 1, 2020 Accepting new patients
Brookville Hospital Emergency Medicine CurrentSince Apr 27, 2013 Accepting new patients
Elk Regional Health Center Emergency Medicine Current Accepting new patients
Brookville Hospital Emergency Medicine CurrentSince Apr 27, 2013 Accepting new patients
Dubois Regional Medical Center CurrentSince Jul 1, 2013 Accepting new patients
J C Blair Memorial Hospital CurrentSince Jun 20, 2024 Accepting new patients
Tyrone Hospital CurrentSince Dec 1, 2025 Accepting new patients
Tyrone Hospital CurrentSince Dec 1, 2025 Accepting new patients
Elk Regional Health Center CurrentSince Jul 1, 2020 Accepting new patients
J C Blair Memorial Hospital CurrentSince Jun 20, 2024 Accepting new patients
Dubois Regional Medical Center Emergency Medicine CurrentSince Jul 1, 2013 Accepting new patients
Clearfield Hospital Emergency Medicine Past Accepting new patients
Clearfield Hospital Past Accepting new patients

Locations

100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408

809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

100 Hospital Ave
Ofc
Dubois, PA 15801

145 Hospital Ave
Ste 101
Dubois, PA 15801
Phone (814) 375-5305

1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206

763 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 788-8000

Organizations & group practices 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1235365248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-375-6351",
            "fax_number": "814-372-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-375-3471",
            "fax_number": "814-375-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "BRIAN",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-04",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS015917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102767396",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "266757",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.