Individual provider Active NPI

Gale Gregory-Laine, D.O.

  • Emergency Medicine Physician
  • Boerne, TX
National Provider Identifier
1417995200
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
K8182 Issued in TX
Practice address
1421 S Main St
Suite 111
Boerne, TX 78006-3321
Phone
(830) 249-9995
Fax
(830) 249-9868
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 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 K8182 TX Primary

Addresses

Primary practice location

1421 S Main St
Suite 111
Boerne, TX 78006-3321

Mailing address

1421 S Main St
Suite 111
Boerne, TX 78006-3321
Phone (830) 249-9995

Other identifiers 3

IdentifierTypeStateIssuer
150072003MedicaidTX
150072001MedicaidTX
8G2429OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110513000445 TX Practitioner - Emergency Medicine 6305022005 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1496WVMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Acute Care, PA Emergency Medicine CurrentSince Apr 24, 2014 Accepting new patients
Victoria Emergency Partners LLC Emergency Medicine CurrentSince Jul 19, 2017 Accepting new patients
Cec Alamo Heights ER Physicians PLLC CurrentSince Mar 1, 2020 Accepting new patients
Complete Emergency Care la Vernia LLC Past Accepting new patients
2013 Broadway Emergency Care LLC Past Accepting new patients
Alamo Heights Complete Care LLC Past Accepting new patients
Emcare GLT Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Texas Em-I Medical Services, P.a. Emergency Medicine Past Accepting new patients
La Vernia Erl Acquisition Partners LLC PastSince Apr 1, 2025 Accepting new patients

Locations

1421 S Main St
Ste 111
Boerne, TX 78006
Phone (830) 249-9995

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

403 Treeline Park
San Antonio, TX 78209
Phone (210) 294-8000

6496 N New Braunfels Ave
San Antonio, TX 78209
Phone (210) 930-4500

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1417995200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 S MAIN ST",
            "address_2": "SUITE 111",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063321",
            "telephone_number": "830-249-9995",
            "fax_number": "830-249-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 S MAIN ST",
            "address_2": "SUITE 111",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063321",
            "telephone_number": "830-249-9995",
            "fax_number": "830-249-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY-LAINE",
        "first_name": "GALE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K8182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150072003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150072001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8G2429",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.