Individual provider Active NPI

Trent Eugene Gale, FNP

  • Family Nurse Practitioner
  • Longview, TX
National Provider Identifier
1972596096
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
57164 Issued in TX
Practice address
4002 Technology Ctr
Longview, TX 75605-2697
Phone
(903) 247-0484
Fax
(903) 247-0485
NPI assigned
Aug 24, 2005
Last updated
Dec 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 57164 TX Primary

Addresses

Primary practice location

4002 Technology Ctr
Longview, TX 75605-2697

Mailing address

402N Kaufman St
Linden, TX 75563-5234
Phone (903) 756-5581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100806000822 TX Practitioner - Nurse Practitioner 7810020104 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Arkansas College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phynet, Inc.Group PAC ID 8527038298, 15 clinicians

Practice addresses (Care Compare)

402 N Kaufman St
Linden, TX 75563-5234
Phone (903) 756-5581

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
57164TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Truhealth, LLC CurrentSince Jul 22, 2023 Accepting new patients
Phynet, Inc. CurrentSince Jul 1, 2010 Accepting new patients
Phynet, Inc. Past Accepting new patients

Locations

1971 Tennessee Ave N
Parsons, TN 38363
Phone (731) 614-1424

511 S Bailey St
Electra, TX 76360
Phone (940) 247-7099

307 W Upshur Ave
Gladewater, TX 75647
Phone (903) 845-2159

219 N Polk St
Jefferson, TX 75657
Phone (903) 665-2600

402 N Kaufman St
Linden, TX 75563
Phone (903) 756-5581

4002 Technology Ctr
Longview, TX 75605
Phone (903) 247-0484

320 Greenville Ave
Mineola, TX 75773
Phone (903) 569-3852

Organizations & group practices 3

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

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1972596096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402N KAUFMAN ST",
            "city": "LINDEN",
            "state": "TX",
            "postal_code": "755635234",
            "telephone_number": "903-756-5581",
            "fax_number": "903-756-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 TECHNOLOGY CTR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052697",
            "telephone_number": "903-247-0484",
            "fax_number": "903-247-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALE",
        "first_name": "TRENT",
        "middle_name": "EUGENE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "57164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.