DR. W. BRENT GILLESPIE (NPI# 1144331083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144331083 |
| Entity Type | Individual |
| Full Name | DR. W. BRENT GILLESPIE |
| Credential | D.P.M. |
| Practice Address |
19222 Stonehue Ste 104 San Antonio TX 78258-3454 |
| Practice Telephone | 2104906408 |
| Practice Fax Number | 2104906419 |
| Mailing Telephone | 2104906408 |
| Mailing Fax Number | 2104906419 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-01-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 1084 | TX | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
1084 | TX | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
1084 | TX | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 127195904 | 05 |
| Street Address |
19222 STONEHUE STE 104 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78258-3454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| 1720649080 | Miguel Ibarra | Pharmacist | 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 | 2019-06-26 |
| 1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
| 1891262176 | Dentists of Stone Oak, PC | Dentist | 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 | 2018-10-25 |
| 1003399437 | Jesus Alcala | Physical Therapist | 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 | 2018-09-11 |
| 1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
| 1508346933 | Desiree Carroll | Occupational Therapy Assistant | 18803 Hardy Oak Drive, San Antonio, TX 78258 | 2018-08-15 |
| 1700376456 | Conner Jay Mcnabb | Optometrist | 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 | 2018-05-17 |
| 1982191516 | Freehand Solutions LLC | Chiropractor | Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 | 2018-04-19 |
| Find all providers in zip 78258 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467958538 | San Antonio Foot and Ankle Center, LLC | Podiatrist | 11212 State Highway 151 Ste 370, San Antonio, TX 78251-4504 | 2018-04-05 |
| 1750394243 | Jason E. Mireles | Podiatrist | 2430 W Mistletoe Ave, San Antonio, TX 78228-5311 | 2006-08-14 |
| 1255386736 | Jason Edward Mireles | Podiatrist | 14726 Hidden Glen Woods, San Antonio, TX 78249-1466 | 2006-05-23 |
| 1174515589 | Caroline Diane Gaynor | Podiatrist | 1804 Ne Loop 410, Suite 200, San Antonio, TX 78217-5215 | 2005-08-22 |
| 1104822683 | Carmina M Fusco | Podiatrist | 1715 Mccullough Ave, 2nd Floor, San Antonio, TX 78212-4046 | 2005-06-21 |
| 1659376572 | Teresa Barrios Ogden | Podiatrist | 12042 Blanco Rd, Suite 310, San Antonio, TX 78216-5440 | 2005-06-16 |
| 1417951385 | Robert Peter Wunderlich | Podiatrist | 1123 N Main Ave, # 201, San Antonio, TX 78212-4740 | 2005-06-09 |
| 1386647691 | Richard Anthony Keh | Podiatrist | 343 W Houston St, Suite 109, San Antonio, TX 78205-2262 | 2005-05-31 |
| 1326308305 | Jerry W. Patterson, D.p.m, P.a. | Podiatrist | 423 Treeline Park, Suite 315, San Antonio, TX 78209-2060 | 2012-05-23 |
| 1184812315 | Robert P Wunderlich Dpm Pa | Podiatrist | 1123 N Main Ave, #201, San Antonio, TX 78212-4740 | 2007-10-12 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78258 |
Please comment or provide details below to improve the information on DR. W. BRENT GILLESPIE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.