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PRIVIA MEDICAL GROUP GULF COAST PLLC
NPI 1134901960
Physical Medicine & Rehabilitation - Sports Medicine in Bryan, TX

Active since October 17, 2023
3201 UNIVERSITY DR E STE 245, BRYAN, TX 77802(979) 731-3100 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Privia Medical Group Gulf Coast Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIVIA MEDICAL GROUP GULF COAST PLLC (NPI 1134901960), doing business as Premiere Sports And Family Medicine, is a healthcare organization registered as a sports medicine in Bryan, Texas and active in the NPI registry since October 2023. The organization lists Barbara Jordan, Vp, Revenue Cycle Management, as its authorized official.

NPPES Registry Identity

NPI1134901960
Entity TypeOrganization
Primary Taxonomy2081S0010X
Legal Business NamePRIVIA MEDICAL GROUP GULF COAST PLLC
Location Address3201 UNIVERSITY DR E STE 245Bryan, TX 77802-3483
Mailing Address1200 Binz St Ste 1490Houston, TX 77004-6946 · (713) 512-7700 · Fax (832) 767-1744
Phone(979) 731-3100
Organization SubpartNo
Authorized OfficialBarbara JordanVp, Revenue Cycle Management · (713) 512-7613
Enumeration DateOctober 17, 2023
NPPES CertifiedOctober 17, 2023
✔ NPI 1134901960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
Definition
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.
Also ListedFamily MedicineTaxonomy 207Q00000X
3201 UNIVERSITY DR E STE 245, Bryan, TX 77802
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Other Names 1

Doing Business AsPremiere Sports And Family Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERIC SOUTH DO
Family Medicine
3201 UNIVERSITY DR E STE 245
BRYAN, TX 77802
Brazos County (979) 721-9821
SPORTS MEDICINE AND REGENERATIVE ORTHOPEDICS, PLLC
Family Medicine
3201 UNIVERSITY DR E STE 245
BRYAN, TX 77802
Brazos County (979) 721-9821
LESLIE MARICE DE LOS SANTOS DO
Family Medicine
3201 UNIVERSITY DR E STE 245
BRYAN, TX 77802
Brazos County (979) 721-9821
THE PAULL ALLERGY AND ASTHMA CLINIC
Specialist
3201 UNIVERSITY DR E STE 245
BRYAN, TX 77802
Brazos County (979) 776-0700
ENNIAH NDAWANA PA
Allergy & Immunology
3201 UNIVERSITY DR E STE 245
BRYAN, TX 77802
Brazos County (979) 776-0700
THE PAULL ALLERGY & ASTHMA CLINIC, P.A
Allergy & Immunology
3201 UNIVERSITY DR E STE 245
BRYAN, TX 77802
Brazos County (979) 776-0700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Privia Medical Group Gulf Coast PLLC's NPI number?

The NPI number for Privia Medical Group Gulf Coast PLLC is 1134901960. It was assigned to this organization in the NPPES registry on October 17, 2023. The provider is doing business as Premiere Sports and Family Medicine.

Where is Privia Medical Group Gulf Coast PLLC located?

Privia Medical Group Gulf Coast PLLC is located at 3201 University Dr E Ste 245, Bryan, TX 77802. The listed phone number is (979) 731-3100.

What is Privia Medical Group Gulf Coast PLLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

When was this NPI record last updated?

The NPPES record for Privia Medical Group Gulf Coast PLLC was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.