Individual provider Active NPI

Brian Michael Gallagher, PA

  • Physician Assistant
  • Sells, AZ
National Provider Identifier
1336250042
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004365 Issued in MI
Practice address
Hwy 86 & Topawa Rd
Sells, AZ 85634
Phone
(520) 295-2524
Fax
(520) 295-2615
NPI assigned
Aug 31, 2006
Last updated
Nov 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601004365 MI Primary

Addresses

Primary practice location

Hwy 86 & Topawa Rd
Sells, AZ 85634

Mailing address

3270 Dobson Dr
Bay City, MI 48706-1675
Phone (989) 450-5641

Other practice location 1

4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 839-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, AZ, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20041012000715 MI Practitioner - Physician Assistant 6709846009 Reassigns benefits to 2 organizations
I20140814002200 AZ Practitioner - Physician Assistant 6709846009 Reassigns benefits to 2 organizations
I20160208001625 TX Practitioner - Physician Assistant 6709846009 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601004365MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
McLaren Medical Group CurrentSince Aug 6, 2023 Accepting new patients
McLaren Medical Group Physician Assistant CurrentSince Aug 6, 2023 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Sep 25, 2023 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Nov 7, 2015 Accepting new patients
Ton Sells Hospital CurrentSince Apr 14, 2020 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Sep 16, 2018 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Sep 25, 2023 Accepting new patients
Tri-City Express Care, PLLC CurrentSince Oct 18, 2014 Accepting new patients
Rosebud Indian Health Service CurrentSince Apr 16, 2018 Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Ton Sells Hospital Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Honorhealth Urgent Care, LLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients

Locations (25 of 32)

2875 W Ray Rd
Ste 8
Chandler, AZ 85224
Phone (480) 726-3440

4959 W Ray Rd
Ste 33
Chandler, AZ 85226
Phone (480) 214-2188

495 N Pinal Pkwy
Ste 106
Florence, AZ 85132
Phone (520) 568-0573

890 W Elliot Rd
Ste 103
Gilbert, AZ 85233
Phone (480) 214-4466

920 E Williams Field Rd
Ste 101
Gilbert, AZ 85295
Phone (480) 499-0201

3730 W Happy Valley Rd
Ste 100
Glendale, AZ 85310
Phone (623) 277-4140

1507 N Litchfield Rd
Ste 200
Goodyear, AZ 85395
Phone (623) 215-0040

1810 S Power Rd
Ste 101
Mesa, AZ 85206
Phone (480) 214-0045

1955 S Signal Butte Rd
Ste 103
Mesa, AZ 85209
Phone (480) 214-4466

415 N Val Vista Dr
Ste 101
Mesa, AZ 85213
Phone (480) 654-5661

835 W University Dr
Mesa, AZ 85201
Phone (480) 664-6007

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

2301 N 44th St
Phoenix, AZ 85008
Phone (602) 808-8786

2423 W Dunlap Ave
Ste 150
Phoenix, AZ 85021
Phone (602) 216-6862

3302 W Thomas Rd
Ste 10
Phoenix, AZ 85017
Phone (602) 233-2900

5201 N 19th Ave
Ste 100
Phoenix, AZ 85015
Phone (404) 447-0127

5259 W Indian School Rd
Ste 100
Phoenix, AZ 85031
Phone (623) 888-5101

8260 W Indian School Rd
Ste 1
Phoenix, AZ 85033
Phone (623) 846-7122

4902 E Shea Blvd
Ste 101
Scottsdale, AZ 85254
Phone (480) 214-4468

7730 E McDowell Rd
Ste 101
Scottsdale, AZ 85257
Phone (480) 699-3314

12775 W Bell Rd
Ste 100
Surprise, AZ 85378
Phone (623) 215-0082

2720 W Baseline Rd
Tempe, AZ 85283
Phone (602) 777-6000

3244 S Mill Ave
Ste 101
Tempe, AZ 85282
Phone (480) 214-0621

940 E University Dr
Ste 101
Tempe, AZ 85288
Phone (480) 214-0622

1895 W Valencia Rd
Ste 101
Tucson, AZ 85746
Phone (520) 576-5104

Interoperability endpoints

  • Direct secure messaging: bgallagher145125@mymichiganhealth.midirect.net

Organizations & group practices 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1336250042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 DOBSON DR",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487061675",
            "telephone_number": "989-450-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 86 & TOPAWA RD",
            "city": "SELLS",
            "state": "AZ",
            "postal_code": "85634",
            "telephone_number": "520-295-2524",
            "fax_number": "520-295-2615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Wellness Dr",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486702000",
            "country_code": "US",
            "telephone_number": "989-839-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "BRIAN",
        "middle_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sells, AZ

Sources for this page

Verify at the official NPI Registry.