WELLSPRING PHYSICIAN, P.C. (NPI# 1457898660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457898660 |
| Entity Type | Organization |
| Organization Name | WELLSPRING PHYSICIAN, P.C. |
| Practice Address |
309 N Washington Ave Suite 13 Bryan TX 77803-5368 |
| Practice Telephone | 9794315664 |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |
| Authorized Official Name | STEVEN J GAFFNEY (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 9794313451 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265971105 | Wellspring Physician, P.C. | Family Medicine | 309 N Washington Ave, Suite 13, Bryan, TX 77803-5368 | 2017-02-13 |
| 1174062012 | Wellspring Physician, P.C. | Family Medicine | 309 N Washington Ave, Suite 13, Bryan, TX 77803-5368 | 2017-02-13 |
| 1255870192 | Wellspring Physician, P.C. | Family Medicine | 309 N Washington Ave, Suite 13, Bryan, TX 77803-5368 | 2017-02-13 |
| 1366981201 | Wellspring Physician, P.C. | Family Medicine | 309 N Washington Ave, Suite 13, Bryan, TX 77803-5368 | 2017-02-13 |
| 1801335740 | Wellspring Physician, P.C. | Family Medicine | 309 N Washington Ave, Suite 13, Bryan, TX 77803-5368 | 2017-02-13 |
| 1457890394 | Wellspring Physician, P.C. | Family Medicine | 309 N Washington Ave, Suite 13, Bryan, TX 77803-5368 | 2017-02-13 |
| 1720527666 | Wellspring Physician, P.C. | Family Medicine | 309 N Washington Ave, Suite 13, Bryan, TX 77803-5368 | 2017-02-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | WELLSPRING PHYSICIAN, P.A. P.C. | 309 N. Washington Avenue Suite 13, Bryan, TX 77803 |
| Colorado Business Entities | Wellspring Physician, P.C. | 309 N Washington Ave Ste 13, Bryan, TX 77803 |
| Street Address |
309 N WASHINGTON AVE SUITE 13 |
| City | BRYAN |
| State | TX |
| Zip Code | 77803-5368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265971105 | Wellspring Physician, P.C. | Family Medicine | 309 N Washington Ave, Suite 13, Bryan, TX 77803-5368 | 2017-02-13 |
| 1174062012 | Wellspring Physician, P.C. | Family Medicine | 309 N Washington Ave, Suite 13, Bryan, TX 77803-5368 | 2017-02-13 |
| 1255870192 | Wellspring Physician, P.C. | Family Medicine | 309 N Washington Ave, Suite 13, Bryan, TX 77803-5368 | 2017-02-13 |
| 1366981201 | Wellspring Physician, P.C. | Family Medicine | 309 N Washington Ave, Suite 13, Bryan, TX 77803-5368 | 2017-02-13 |
| 1801335740 | Wellspring Physician, P.C. | Family Medicine | 309 N Washington Ave, Suite 13, Bryan, TX 77803-5368 | 2017-02-13 |
| 1457890394 | Wellspring Physician, P.C. | Family Medicine | 309 N Washington Ave, Suite 13, Bryan, TX 77803-5368 | 2017-02-13 |
| 1720527666 | Wellspring Physician, P.C. | Family Medicine | 309 N Washington Ave, Suite 13, Bryan, TX 77803-5368 | 2017-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902275878 | Dansby House Inc | Assisted Living Facility | 703 Dean St, Bryan, TX 77803 | 2015-09-21 |
| 1841600640 | Shs-sig Select 1, Inc. | In Home Supportive Care | 1135 N Earl Rudder Freeway, Ste 102, Bryan, TX 77803 | 2014-05-01 |
| 1093065393 | Virginia Clipson Johnson | Speech-Language Pathologist | 1401 W. Martin Luther King, Bryan, TX 77803 | 2012-09-13 |
| 1316235005 | H-e-b, Lp | Clinical Medical Laboratory | 1609 N Texas Ave, Bryan, TX 77803 | 2011-07-14 |
| 1114251550 | Kathy L Linnemeier | Occupational Therapist | 302 E 24th St., Bryan, TX 77803 | 2009-10-01 |
| 1457566622 | Scd Back & Joint Clinic, Ltd | Chiropractor | 200 East 24th Street, Suite B, Bryan, TX 77803 | 2007-05-11 |
| 1013010206 | Frances Harriett Kimbrough | Psychologist | 403 South Houston Avenue, Bryan, TX 77803 | 2006-09-06 |
| 1427034362 | Abc Chiropractic Pa | Chiropractor | 322 North Main St, Bryan, TX 77803 | 2005-12-22 |
| 1194112383 | Monica Menchaca | Specialist/Technologist | 3007 Highwood Ln, Bryan, TX 77803-0306 | 2015-04-25 |
| 1063777324 | Ryan Isaac Gilchrist | Technician | 2914 Indiana Ave, Bryan, TX 77803-1070 | 2012-07-11 |
| Find all providers in zip 77803 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609333095 | Holly Ann Kleypas | Family Medicine | 1121 Briarcrest Dr Ste 303, Bryan, TX 77802-2500 | 2019-02-21 |
| 1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
| 1700286986 | Michael D. Mckinney, Md. | Family Medicine | 3313 Emory Oak Dr, Bryan, TX 77807-4001 | 2014-08-25 |
| 1437558210 | Wellspring Physician, P.a. | Family Medicine | 309 N. Washington Ave, Suite 13, Bryan, TX 76248 | 2014-08-18 |
| 1639490089 | Kuy Houser | Family Medicine | 2800 S Texas Ave, Suite 202, Bryan, TX 77802-5361 | 2010-06-21 |
| 1275705089 | Michael F. Ruggiero, Do, Pa | Family Medicine | 2901 E 29th St, Suite 123, Bryan, TX 77802-2692 | 2008-04-01 |
| 1750572681 | Benjamin W. Dudycha | Family Medicine | 3351 University Dr E Ste 111, Bryan, TX 77802-3470 | 2007-08-06 |
| 1164634606 | Sybil Jane Taquet | Family Medicine | 2410 Boonville Rd, Bryan, TX 77808-2226 | 2007-05-04 |
| 1831259399 | Davelyn Eaves Hood | Family Medicine | 3370 South Texas Avenue, Suite B, Bryan, TX 77802 | 2006-12-12 |
| 1275604878 | Warren Paul Roquet | Family Medicine | 3201 University Drive East, Suite 135, Bryan, TX 77802-3481 | 2006-11-13 |
| Find all providers in BRYAN | ||||
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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.