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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PAI PARTICIPANT 9 PA
NPI 1679135420
Internal Medicine - Geriatric Medicine in Elgin, TX

Active since July 02, 2019
1373 N AVENUE C, ELGIN, TX 78621(512) 285-2457 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2026, Dec 13, 2024, Aug 11, 2020 and 1 more (4 updates tracked since 2019).

About Pai Participant 9 Pa NPPES

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

PAI PARTICIPANT 9 PA (NPI 1679135420) is a healthcare organization registered as a geriatric medicine in Elgin, Texas and active in the NPI registry since July 2019. The organization lists Brittain Brantley, Acting President, as its authorized official.

NPPES Registry Identity

NPI1679135420
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NamePAI PARTICIPANT 9 PA
Location Address1373 N AVENUE CElgin, TX 78621-1528
Mailing AddressPo Box 639676Cincinnati, OH 45263-9676 · (859) 291-4800
Phone(512) 285-2457
Organization SubpartNo
Authorized OfficialBrittain BrantleyActing President · (302) 300-5138
Enumeration DateJuly 2, 2019
Last NPPES UpdateAugust 13, 20264 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1679135420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
1373 N AVENUE C, Elgin, TX 78621
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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 9

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

CEARA ROSE EDWARDS COTA
Occupational Therapy Assistant
1373 N AVENUE C
ELGIN, TX 78621
Bastrop County (512) 285-2459
ARIEL JIMENEZ SEGURA MSN, APRN, FNP-C
Nurse Practitioner (Family)
1373 N AVENUE C
ELGIN, TX 78621
Bastrop County (512) 285-2457
RUTHIE MICHELLE NORTH PTA
Physical Therapy Assistant
1373 N AVENUE C
ELGIN, TX 78621
Bastrop County (512) 285-2457
SMITHVILLE HOSPITAL AUTHORITY
Skilled Nursing Facility
1373 N AVENUE C
ELGIN, TX 78621
Bastrop County (512) 285-2457
ALLISON ROSEN OTR
Occupational Therapist
1373 N AVENUE C
ELGIN, TX 78621
Bastrop County (512) 285-2457
BRANDON YATES
Physical Therapy Assistant
1373 N AVENUE C
ELGIN, TX 78621
Bastrop County (512) 285-2459
TYLER BRYAN AVEY COTA
Occupational Therapy Assistant
1373 N AVENUE C
ELGIN, TX 78621
Bastrop County (512) 285-2475
AUSTIN PHYSIATRY LLC
Physical Medicine & Rehabilitation
1373 N AVENUE C
ELGIN, TX 78621
Bastrop County (737) 241-8288

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 Pai Participant 9 PA's NPI number?

The NPI number for Pai Participant 9 PA is 1679135420. It was assigned to this organization in the NPPES registry on July 2, 2019.

Where is Pai Participant 9 PA located?

Pai Participant 9 PA is located at 1373 N Avenue C, Elgin, TX 78621. The listed phone number is (512) 285-2457.

What is Pai Participant 9 PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Pai Participant 9 PA was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.