PRIVIA MEDICAL GROUP GULF COAST PLLC – NPI #1134901960
Physical Medicine & Rehabilitation

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

PRIVIA MEDICAL GROUP GULF COAST PLLC is a provider located in BRYAN, TX. NPPES has assigned the NPI number 1134901960 to PRIVIA MEDICAL GROUP GULF COAST PLLC on October 17, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2081S0010X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Sports Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRIVIA MEDICAL GROUP GULF COAST PLLC below.

NPI Profile for
PRIVIA MEDICAL GROUP GULF COAST PLLC

NPI Number
1134901960
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRIVIA MEDICAL GROUP GULF COAST PLLC
Primary location
3201 UNIVERSITY DR E STE 245
BRYAN, TX 77802-3483
Phone: (979) 731-3100 Fax:
Mailing address
1200 BINZ ST STE 1490
HOUSTON, TX 77004-6946
Phone: (713) 512-7700 Fax: (832) 767-1744
Organization Subpart
No
Authorized Official
BARBARA JORDAN
VP, REVENUE CYCLE MANAGEMENT
Phone: (713) 512-7613
Updated
Certification Date
Oct 17, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2081S0010X
- Physical Medicine & Rehabilitation / Sports Medicine (Primary)
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.