NPIMap

Organization Active NPI

Gale Gardner, MD, PC

  • Medical Specialty Clinic/Center
  • Memphis, TN
National Provider Identifier
1649461435
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
3843 Issued in TN
Legal business name
GALE GARDNER, MD, PC
Practice address
1910 Madison Ave
PMB #620
Memphis, TN 38104-2620
Phone
(901) 725-5167
Fax
(901) 725-7653
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Authorized official

Name
Mrs. Charlotte Gardner Burke
Title
Secretary/Treasurer
Phone
(901) 725-5167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 3843 TN Primary

Addresses

Primary practice location

1910 Madison Ave
PMB #620
Memphis, TN 38104-2620

Mailing address

1910 Madison Ave
PMB #620
Memphis, TN 38104-2620
Phone (901) 725-5167

National Provider Directory

National Provider Directory

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": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1649461435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 MADISON AVE",
            "address_2": "PMB #620",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042620",
            "telephone_number": "901-725-5167",
            "fax_number": "901-725-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 MADISON AVE",
            "address_2": "PMB #620",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042620",
            "telephone_number": "901-725-5167",
            "fax_number": "901-725-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALE GARDNER, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "GARDNER",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "901-725-5167",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TN",
            "license": "3843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.