David Gallardo, MD
in Medford, OR. Individual provider (NPI-1).
NPI number1114913282
StatusActive
Last updated in NPPESSep 8, 2026
Details
- NPI
- 1114913282
- Entity type
- Individual (NPI-1)
- Name
- David Gallardo
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 23, 2005
- Certification date
- Sep 8, 2026
- Last updated
- Sep 8, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - RADIATION ONCOLOGY
- 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 |
|---|---|---|---|---|
| 2085R0001X | MD218390 | OR | Yes | |
| 2085R0001X | G77558 | CA |
Practice location
3011 E Barnett RdMedford, OR 97504-8301
Phone 541-789-4673
Mailing address
2825 E Barnett Rd # MssMedford, OR 97504-8332
Phone 541-789-4673
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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