DR. KOURTNEY ALEXANDRA GWIN DO
NPI 1316790603
General Practice in San Antonio, TX
About Dr. Kourtney Alexandra Gwin Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KOURTNEY ALEXANDRA GWIN DO (NPI 1316790603) is an individual general practice provider in San Antonio, Texas, licensed in Virginia (0102209973) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kourtney Alexandra Gwin Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
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 Kourtney Gwin's NPI number?
The NPI number for Kourtney Gwin is 1316790603. It was assigned to this individual provider in the NPPES registry on April 8, 2024.
Where is Kourtney Gwin located?
Kourtney Gwin practices at 3551 Roger Brooke Dr, San Antonio, TX 78234. The listed phone number is (916) 757-7470.
What is Kourtney Gwin's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Kourtney Gwin enrolled in Medicare?
Yes. Kourtney Gwin is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kourtney Gwin was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Dr. Kourtney Alexandra Gwin, DO · NPI 1316790603
General Practice physician in San Antonio, Texas. Individual provider, active in the CMS NPPES registry since April 8, 2024.
## Identity
- **NPI:** 1316790603 (Entity type: Individual)
- **Enumerated:** April 8, 2024
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 0102209973 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3551 ROGER BROOKE DR, San Antonio, TX 78234-4504
- **Phone:** (916) 757-7470
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1316790603) · Data from the CMS NPPES public registry.