MR. DANIEL BRADFORD GALLO (PA-C) – Physician Assistant, NPI 1407536709

MR. DANIEL BRADFORD GALLO (PA-C) is a healthcare provider. based in Watkinsville, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 11976 (GA). The NPI Number for MR. DANIEL BRADFORD GALLO (PA-C) is 1407536709

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
MR. DANIEL BRADFORD GALLO (PA-C)
NPI
1407536709
Phone
(706) 310-0324
Address
2061 EXPERIMENT STATION RD STE 505
Enumeration Date
20 July 2023
Last Update Date
25 June 2024

Doctor Profile

Medical School Name
LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Secondary Phone
7067143562
Graduation Year
2023 (3 years ago)
PAC ID
3779934625
Group Practice PAC ID
5991090540
Professional Enrollment ID
I20240104004417
Address ID
GA306775327WA2061XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:2State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for MR. DANIEL BRADFORD GALLO (PA-C)

  • 2061 EXPERIMENT STATION RD STE 505

    WATKINSVILLE, GA 306775327

    Phone: (706) 310-0324

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $82.

Total Amount is formed as General ($82) + Research ($0) + Ownership ($0) = $82.

Last reported payment date: 2024-05-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($66).

Total Amount

$82

General + Research + Ownership

Payments

2

Total payment records

General Amount

$82

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240104004417IPhysician AssistantGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30677)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991090540View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm MR. DANIEL BRADFORD GALLO (PA-C)'s NPI?
Yes. MR. DANIEL BRADFORD GALLO (PA-C) is listed with NPI 1407536709 in the public NPI dataset.
Is MR. DANIEL BRADFORD GALLO (PA-C) listed as active for patients and plans?
The listing shows MR. DANIEL BRADFORD GALLO (PA-C) as active in the NPI system.
What is MR. DANIEL BRADFORD GALLO (PA-C) best known for clinically?
Directory data describes MR. DANIEL BRADFORD GALLO (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect MR. DANIEL BRADFORD GALLO (PA-C) on a map?
Expect Watkinsville, Georgia as a primary anchor for MR. DANIEL BRADFORD GALLO (PA-C) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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