Brent Wesley Galloway Jr MD PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

BRENT WESLEY GALLOWAY JR MD PLLC

Practice address

3913 Stableglen Dr
Rockwall, TX 75032-0129

Phone

(918) 891-8231

NPI assigned

Jun 8, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Brent Wesley Galloway Jr., MD

Title

MD

Phone

(918) 891-8231

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1831451632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3913 STABLEGLEN DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750320129",
            "telephone_number": "918-891-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3913 STABLEGLEN DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750320129",
            "telephone_number": "918-891-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT WESLEY GALLOWAY JR MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "GALLOWAY",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "918-891-8231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK MED LICENSE",
            "identifier": "29413",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "N4420",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Ann Bradford
• Donna E Bradley-Gentry, MSN, FNP
• Julia Bratton, APRN-CNP
• Robert Burks Breen, ED.D.
• Kennidi Bremermann
• Elizabeth Louise Brewer
• Bridge Homecare LLC
• Wendy L Bridger, FNP
• Devin Bridges
• Alexa Berlin Briggs, DMD

• All providers in Rockwall, TX
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.