KORY LEE GILL (NPI# 1154582716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154582716 |
| Entity Type | Individual |
| Full Name | KORY LEE GILL |
| Credential | D.O. |
| Practice Address |
3121 University Dr E Ste 100 Bryan TX 77802-3499 |
| Mailing Address |
2900 E 29th St Bryan TX 77802-2622 |
| Practice Telephone | 9797760169 |
| Practice Fax Number | 9797761372 |
| Mailing Telephone | 9797768440 |
| Mailing Fax Number | 9797766905 |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2020-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | M8674 | TX | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
M8674 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8BZ695 | 01 |
| TX | 201122301 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2900 E 29th St, Bryan, TX 778022622 | 9797768440 | 9797766905 |
| Street Address |
3121 UNIVERSITY DR E STE 100 |
| City | BRYAN |
| State | TX |
| Zip Code | 77802-3499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558350181 | Joe P Bramhall | Specialist | 3121 University Dr E Ste 100, Bryan, TX 77802-3499 | 2005-10-17 |
| 1609493543 | Brazos Valley Physicians Alliance | Emergency Medicine | 3121 University Dr E Ste 100, Bryan, TX 77802-3499 | 2020-06-26 |
| 1932628716 | Daniel John Curnutt | Physical Therapist | 3121 University Dr E Ste 100, Bryan, TX 77802-3499 | 2017-09-13 |
| 1750744579 | Clay Matthew Reedy | Physical Therapist | 3121 University Dr E Ste 100, Bryan, TX 77802-3499 | 2016-03-30 |
| 1609265370 | Kayce Denise Hedrick | Physical Therapist | 3121 University Dr E Ste 100, Bryan, TX 77802-3499 | 2015-01-17 |
| 1023453743 | Ricardo Garcia Jr. | Family Medicine | 3121 University Dr E Ste 100, Bryan, TX 77802-3499 | 2013-05-08 |
| 1275829400 | Grant Marshall Rowland | Orthopaedic Surgery | 3121 University Dr E Ste 100, Bryan, TX 77802-3499 | 2011-06-27 |
| 1750602199 | Laura Elizabeth Marsh | Family Medicine | 3121 University Dr E Ste 100, Bryan, TX 77802-3499 | 2010-06-21 |
| 1043468515 | Michael G. Joseph | Physical Therapist | 3121 University Dr E Ste 100, Bryan, TX 77802-3499 | 2008-09-08 |
| 1992824775 | Jennifer D Riggens | Physician Assistant | 3121 University Dr E Ste 100, Bryan, TX 77802-3499 | 2007-03-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
| 1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
| 1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
| 1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
| 1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
| 1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
| 1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
| 1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
| 1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
| 1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
| Find all providers in zip 77802 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023453743 | Ricardo Garcia Jr. | Family Medicine | 3121 University Dr E Ste 100, Bryan, TX 77802-3499 | 2013-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922755 | David Conrad Ortmeier | Family Medicine | 4900 Wichita Trl, Flower Mound, TX 75022-5628 | 2020-11-02 |
| 1639704042 | Tahnee Rae Beal | Family Medicine | 1301 S Bonnie Brae St., Athc Building # 0320., Denton, TX 76207 | 2020-03-05 |
| 1760027643 | Mark Garza, M.d., Pllc | Family Medicine | 131 S Westmeadow Dr, Cleburne, TX 76033-4586 | 2019-11-14 |
| 1528603495 | Mark Garza, M.d., Pllc | Family Medicine | 209 Saint Louis Ave Ste 100, Fort Worth, TX 76104-1231 | 2019-11-14 |
| 1265092043 | Texas Federal Wellness Center of Mcallen Pllc | Family Medicine | 4501 W Expressway 83 Ste 50, Mcallen, TX 78503-0029 | 2019-06-14 |
| 1235792524 | Celina Family Practice Pllc | Family Medicine | 701 N Preston Rd Ste 200, Celina, TX 75009-3777 | 2019-04-22 |
| 1164902409 | Dna Medical | Family Medicine | 3736 Bee Caves Rd Ste 9, West Lake Hills, TX 78746-5378 | 2018-08-16 |
| 1861992695 | Taylor Henry | Family Medicine | 739 Tanglewood Drive, Burleson, TX 76028 | 2018-02-19 |
| 1063910842 | Running Wild Sea, LLC | Family Medicine | 8557 Research Blvd Ste 128, Austin, TX 78758-7855 | 2018-01-26 |
| 1134633050 | The University of Texas Rio Grande Valley | Family Medicine | 1201 West University Dr., Utrgv Dept of Intercollegiate Athletics, Edinburg, TX 78539 | 2017-11-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.