PRIVIA MEDICAL GROUP GULF COAST PLLC
NPI 1518680123
Podiatrist - Foot Surgery in Spicewood, TX

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

The NPI number for Privia Medical Group Gulf Coast PLLC is 1518680123. It was assigned to this organization in the NPPES registry on September 20, 2022. The provider is doing business as Privia Medical Group Gulf Coast.

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

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Active since September 20, 2022

4900 BEE CREEK RD UNIT 203, SPICEWOOD, TX 78669(512) 907-3100 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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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 1518680123), doing business as Privia Medical Group Gulf Coast, is a healthcare organization registered as a foot surgery in Spicewood, Texas and active in the NPI registry since September 2022. The organization lists Barbara Jordan, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1518680123

Entity TypeOrganization

Primary Taxonomy213ES0131X

Legal Business NamePRIVIA MEDICAL GROUP GULF COAST PLLC

Location Address4900 BEE CREEK RD UNIT 203Spicewood, TX 78669-7018

Mailing Address1200 Binz St Ste 1490Houston, TX 77004-6946 · (713) 512-7700

Phone(512) 907-3100

Organization SubpartNo

Authorized OfficialBarbara JordanAuthorized Official · (713) 512-7613

Enumeration DateSeptember 20, 2022

NPPES CertifiedSeptember 20, 2022

✔ NPI 1518680123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0131X

4900 BEE CREEK RD UNIT 203, Spicewood, TX 78669

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Other Names 1

Doing Business AsPrivia Medical Group Gulf Coast

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 1518680123. It was assigned to this organization in the NPPES registry on September 20, 2022. The provider is doing business as Privia Medical Group Gulf Coast.

Where is Privia Medical Group Gulf Coast PLLC located?

Privia Medical Group Gulf Coast PLLC is located at 4900 Bee Creek Rd Unit 203, Spicewood, TX 78669. The listed phone number is (512) 907-3100.

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

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

When was this NPI record last updated?

The NPPES record for Privia Medical Group Gulf Coast PLLC was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.