NPI Code Details Logo

NPI 1902873458

NPI 1902873458 : BRIAN D GALE DPM : BISMARCK, ND

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1902873458
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    BRIAN D GALE DPM
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/03/2006
-----------------------------------------------------
    Last Update Date     |    06/13/2023
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1733 E CAPITOL AVE 
-----------------------------------------------------
    City                 |    BISMARCK
-----------------------------------------------------
    State                |    ND
-----------------------------------------------------
    Zip                  |    58501-2150
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    701-255-3338
-----------------------------------------------------
    Fax                  |    701-255-6706
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1733 E CAPITOL AVE STE 101 
-----------------------------------------------------
    City                 |    BISMARCK
-----------------------------------------------------
    State                |    ND
-----------------------------------------------------
    Zip                  |    58501-5620
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    701-255-3338
-----------------------------------------------------
    Fax                  |    701-751-1471
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    213ES0103X
-----------------------------------------------------
    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
-----------------------------------------------------
    License Number       |    029
-----------------------------------------------------
    License Number State |    ND
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    213ES0103X
-----------------------------------------------------
    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
-----------------------------------------------------
    License Number       |    29
-----------------------------------------------------
    License Number State |    ND
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.