LEGACY FAMILY MEDICINE LLC
NPI 1265172399
Family Medicine in Gallup, NM

Active since March 29, 2022
1808 E AZTEC AVE STE 6, GALLUP, NM 87301(505) 863-9374 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Family Medicine

About LEGACY FAMILY MEDICINE LLC

This page provides the complete NPI Profile along with additional information for Legacy Family Medicine Llc, a primary care provider established in Gallup, New Mexico operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1265172399 assigned on March 2022. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Legacy Family Medicine Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Brett Hartline (Administrator)

NPI
1265172399 Verify this NPI
Provider Name
LEGACY FAMILY MEDICINE LLC
Entity Type
Organization
Location Address
1808 E AZTEC AVE STE 6 GALLUP, NM 87301
Location Phone
(505) 863-9374
Mailing Address
PO BOX 402 LUPTON, AZ 86508
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-29-2022
Last Update Date
03-29-2022
Code Navigator

A primary care provider (PCP) like Legacy Family Medicine Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRETT HARTLINE

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(480) 498-9086

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Family Medicine
1808 E AZTEC AVE STE 6
GALLUP, NM 87301
Substance Abuse Rehabilitation Facility
1808 E AZTEC AVE STE 6
GALLUP, NM 87301
Community Health Worker
1808 E AZTEC AVE STE 6
GALLUP, NM 87301
Community Health Worker
1808 E AZTEC AVE STE 6
GALLUP, NM 87301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265172399, enumerated as an "organization" on March 29, 2022.

The provider is located at 1808 E AZTEC AVE STE 6 GALLUP, NM 87301 and the phone number is (505) 863-9374.

Family Medicine with taxonomy code 207Q00000X.