Tyler Gallegos

Primary specialty

Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X

License

2000034028 Issued in CO

Practice address

10526 Pierson Cir
Broomfield, CO 80021-3524

Phone

(303) 507-7256

NPI assigned

Sep 19, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1487138053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10526 PIERSON CIR",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800213524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10526 PIERSON CIR",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800213524",
            "telephone_number": "303-507-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "TYLER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "CO",
            "license": "2000034028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Gaffey III, PT
• Virginia Mary Gaige, M.A., CCC-SLP
• Genalisa Rose Galeano
• Clarissa Sueann Gallegos, MA, LPC
• Lana Jo Gallegos
• Yuli Gao
• Jonathan Garber, MA, LPCC, NCC
• James Richard Garcia, RPH
• Gina Gardner-Wood
• Lauren E Gardner, MA, LPC, NCC

• Sports Medicine (Internal Medicine) Physician in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Sports Medicine (Internal Medicine) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.