W Brent Gillespie


Address: 19222 Stonehue, Suite 104, San Antonio, TX 78258-3454
Phone: 2104906408

W Brent Gillespie (NPI# 1144331083, PAC ID# 9537229844) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.

Physician Overview

Nation Provider ID (NPI) 1144331083
PAC ID by PECOS 9537229844
Professional Enrollment ID I20081117000467
Full Name W Brent Gillespie
Address 19222 Stonehue
Suite 104
San Antonio
TX 78258-3454
Phone Number 2104906408
Gender M
Medical School CALIFORNIA COLLEGE PODIATRIC MEDICINE
Graduation Year 1988
Primary Specialty PODIATRY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
450058 BAPTIST MEDICAL CENTER

Other Locations

Address Phone Organization
19222 Stonehue, Suite 104, San Antonio, TX 78258-3454 2104906408

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 19222 STONEHUE
SUITE 104
City SAN ANTONIO
State TX
Zip 78258-3454

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Competitor

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City SAN ANTONIO
Zip Code 78258
Specialty PODIATRY
City + Specialty SAN ANTONIO + PODIATRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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