OrganizationActive
Legacy Family Medicine LLC
NPI 1265172399 · Family Medicine Physician · Gallup, NM
Legacy Family Medicine LLC is a Family Medicine Physician organization in Gallup, NM (NPI 1265172399).
Provider details
- NPI number
- 1265172399
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brett Hartline, Administrator(480) 498-9086
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1808 E Aztec Ave Ste 6
Gallup, NM 87301-4946
Phone: (505) 863-9374
Street-level locationGet directions
Mailing address
Po Box 402
Lupton, AZ 86508-1402
Registry dates
- Enumerated
- 2022-03-29
- Last updated
- 2022-03-29
- Certified
- 2022-03-29
Frequently asked questions
- What is Legacy Family Medicine LLC's NPI number?
- Legacy Family Medicine LLC's National Provider Identifier (NPI) is 1265172399, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Family Medicine LLC?
- Legacy Family Medicine LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Legacy Family Medicine LLC located?
- Legacy Family Medicine LLC's practice location on file with NPPES is 1808 E Aztec Ave Ste 6, Gallup, NM 87301-4946.
- What is Legacy Family Medicine LLC's phone number?
- The practice phone number listed in the NPPES registry for Legacy Family Medicine LLC is (505) 863-9374.
- Who is the authorized official for Legacy Family Medicine LLC?
- The authorized official listed on Legacy Family Medicine LLC's NPPES record is Brett Hartline, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Family Medicine LLC's NPI active?
- Yes — Legacy Family Medicine LLC's NPI (1265172399) is active in the NPPES registry as of the last update on 2022-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.