Cory Robert Gall, DO
Orthopaedic Surgery in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1013594787
StatusActive
Last updated in NPPESNov 3, 2026
Details
- NPI
- 1013594787
- Entity type
- Individual (NPI-1)
- Name
- Cory Robert Gall
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2021
- Certification date
- Nov 3, 2026
- Last updated
- Nov 3, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - ORTHOPEDIC SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 02008956A | IN | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
5050 N Clinton StFort Wayne, IN 46825-5822
Phone 260-484-8551
Mailing address
147 N Brent StVentura, CA 93003-2809
Phone 805-948-5672
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