NPIMap

Individual provider Active NPI

Brian W Gaskill, DO

  • Family Medicine Physician
  • Spooner, WI
National Provider Identifier
1922062785
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
49467 Issued in WI
Practice address
707 Ash Street
Spooner, WI 54801
Phone
(715) 635-2151
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 49467 WI Primary

Addresses

Primary practice location

707 Ash Street
Spooner, WI 54801

Mailing address

707 Ash Street
Spooner, WI 54801
Phone (715) 635-2151

Other identifiers 1

IdentifierTypeStateIssuer
32810500MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061128000088 WI Practitioner - Family PracticePractitioner - Emergency Medicine 1557369600 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Advantage Physical Therapy and Sports Rehab, LLC 289 clinicians
St Marys Hospital of Superior 96 clinicians
Spooner Health System Inc 10 clinicians

Practice addresses (Care Compare)

112 Ash St
Suite a
Spooner, WI 54801-1487
Phone (715) 635-3979

1180 Chandler Dr
Spooner, WI 54801-2204
Phone (715) 635-2151

1280 Chandler Dr
Spooner, WI 54801-2202
Phone (715) 635-2111

819 Ash St
Spooner, WI 54801-1201
Phone (715) 635-5303

Hospital & facility affiliations

  • Transitions Home Health of Central Wisconsin Home health agency, Stevens Point, WI, CCN 527330
  • Spooner Health System Homecare Home health agency, Spooner, WI, CCN 527195
  • Hearts of Gold Home health agency, Shell Lake, WI, CCN 527252
  • Regional Hospice Services Hospice, Ashland, WI, CCN 521539
  • St Marys Hospital Superior Hospital, Superior, WI, CCN 521329
  • Spooner Health System Hospital, Spooner, WI, CCN 521332
  • Indianhead Medical Ctr Hospital, Shell Lake, WI, CCN 521342
  • Tamarack Health Hayward Medical Center Hospital, Hayward, WI, CCN 521336
  • North Memorial Health Hospital Hospital, Robbinsdale, MN, CCN 240001
  • Dove Healthcare - Spooner Nursing home, Spooner, WI, CCN 525673
  • Spooner Health System Nursing home, CCN 52Z332

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Hospital of Superior CurrentSince Jan 1, 2017 Accepting new patients
St Mary'S Hospital of Superior CurrentSince Jan 1, 2017 Accepting new patients
St. Mary'S Hospital of Superior Current Accepting new patients
Spooner Health System, Inc. CurrentSince Feb 6, 2019 Accepting new patients
St. Mary'S Duluth Clinic Health System Current Accepting new patients
The Duluth Clinic, LTD Past Accepting new patients

Locations

1180 Chandler Dr
Spooner, WI 54801
Phone (715) 635-2151

1280 Chandler Dr
Spooner, WI 54801
Phone (715) 635-2111

707 Ash St
Spooner, WI 54801
Phone (715) 635-2151

3500 Tower Ave
Ste 1
Superior, WI 54880
Phone (715) 395-5457

3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Spooner Health System IncSpooner, WI, CCN 521332 Hospital Corporate Director Aug 1, 2016
Spooner HealthSpooner, WI, CCN 52Z332 Hospital Corporate Director Aug 1, 2016
Spooner Health System Home CareSpooner, WI, CCN 527195 Home health agency Corporate Director Aug 1, 2016

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1922062785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 ASH STREET",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "54801",
            "telephone_number": "715-635-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 ASH STREET",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "54801",
            "telephone_number": "715-635-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASKILL",
        "first_name": "BRIAN",
        "middle_name": "W",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "49467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32810500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spooner, WI

Sources for this page

Verify at the official NPI Registry.