Brian L Gates DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC002225L Issued in PA

Legal business name

BRIAN L GATES DPM PC

Practice address

521 Logan Boulevard Lakemont
Altoona, PA 16602-5619

Phone

(814) 943-9885

Fax

(814) 943-5492

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Brian L Gates, DPMNPI 1043239593

Title

President

Phone

(814) 943-9885

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Brian Lee Gates, D.P.M.

  • Podiatrist
  • Altoona, PA
  • NPI 1043239593
  NPD (past) Authorized official

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1629146352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 LOGAN BOULEVARD LAKEMONT",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166025619",
            "telephone_number": "814-943-9885",
            "fax_number": "814-943-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 LOGAN BOULEVARD LAKEMONT",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166025619",
            "telephone_number": "814-943-9885",
            "fax_number": "814-943-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN L GATES DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-943-9885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002225L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER ID#",
            "identifier": "084466",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kaelee Mae Bresslin, PA-C
• Bretton Medical LLC
• Megan Hilda Breuning, M.D.
• Amber Lu Brick, MSWL
• Hope Bridenbaugh
• Gerard R Brill, CRNA
• Angela Christine Brinklow, PA-C
• Alyssa Kathleen Brisbin, MD

• Podiatrist in Altoona, PA
• Providers in Altoona, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.