ROBERT JACKSON GALLAGHER
NPI 1407650948
Student in an Organized Health Care Education/Training Program in Charlotte, NC

Q: What is Robert Gallagher's NPI number?

The NPI number for Robert Gallagher is 1407650948. It was assigned to this individual provider in the NPPES registry on April 3, 2025.

Q: What is Robert Gallagher's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Gallagher was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 03, 2025PECOS Enrolled

1000 BLYTHE BLVD STE 601, CHARLOTTE, NC 28203(309) 716-9437 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2025, Apr 3, 2025 (2 updates tracked since 2025).

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About Robert Jackson Gallagher NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT JACKSON GALLAGHER (NPI 1407650948) is an individual student in an organized health care education/training program in Charlotte, North Carolina and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407650948

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameROBERT JACKSON GALLAGHER

Location Address1000 BLYTHE BLVD STE 601Charlotte, NC 28203-5812

Mailing Address2812 Eagle Heights CtBettendorf, IA 52722-6307 · (309) 716-9437

Phone(309) 716-9437

Sole ProprietorNo

Enumeration DateApril 3, 2025

Last NPPES UpdateApril 7, 20252 updates tracked since enumeration

NPPES CertifiedApril 7, 2025

✔ NPI 1407650948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1000 BLYTHE BLVD STE 601, Charlotte, NC 28203

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Jackson Gallagher is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSHUA SAMUEL CHAIT

Student in an Organized Health Care Education/Training Program