Organization Active NPI

W Brad Gates MD PA

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1306054176
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
W BRAD GATES MD PA
Practice address
3108 Midway Rd
Suite 105
Plano, TX 75093-6383
Phone
(972) 801-9100
Fax
(972) 378-4846
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William Bradley Gates, MDNPI 1447233465
Title
Owner
Phone
(972) 801-9100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3108 Midway Rd
Suite 105
Plano, TX 75093-6383

Mailing address

3108 Midway Rd
Suite 105
Plano, TX 75093-6383
Phone (972) 801-9100

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1060868W Brad Gates, MD, PA3108 Midway Road, Suite 105, Plano, TX 75093Certificate of waiverNov 2, 2026

National Provider Directory

National Provider Directory

Locations

3108 Midway Rd
Ste 105
Plano, TX 75093
Phone (972) 801-9100

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306054176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 MIDWAY RD",
            "address_2": "SUITE 105",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936383",
            "telephone_number": "972-801-9100",
            "fax_number": "972-378-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 MIDWAY RD",
            "address_2": "SUITE 105",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936383",
            "telephone_number": "972-801-9100",
            "fax_number": "972-378-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W BRAD GATES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-801-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.