Gillespie, W. Brent

Gillespie, W. Brent is an sole proprietor health care provider with primary practice located at 19222 Stonehue Ste 104 , San Antonio TX 78258-3454. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Gillespie, W. Brent can be contacted via phone (210) 490-6408.

Contact Information

Primary practice address
19222 Stonehue Ste 104 San Antonio TX 78258-3454
Phone: (210) 490-6408
Fax: (210) 490-6419
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1084 Texas
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X 1084 Texas
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 1084 Texas

Profile Details

NPI number 1144331083
LBN Legal business name Gillespie, W. Brent
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jan 7th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144331083 NPPES
Texas MEDICAID 127195904

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