L Justin Gayle MD PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

J6453 Issued in TX

Legal business name

L JUSTIN GAYLE MD PLLC

Practice address

1602 Rock Prairie Rd Ste 460
College Station, TX 77845-8309

Phone

(979) 704-6173

Fax

(979) 704-6174

NPI assigned

Jan 27, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lelve Justin Gayle, MDNPI 1285632737

Title

Physician

Phone

(979) 229-9189

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lelve Justin Gayle, MD

  • Obstetrics & Gynecology Physician
  • College Station, TX
  • NPI 1285632737
  Medicare reassignment NPD Authorized official
• Lauren Pankonien

  • Family Nurse Practitioner
  • College Station, TX
  • NPI 1205584323
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1003206285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 ROCK PRAIRIE RD STE 460",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458309",
            "telephone_number": "979-704-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 ROCK PRAIRIE RD STE 460",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458309",
            "telephone_number": "979-704-6173",
            "fax_number": "979-704-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L JUSTIN GAYLE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "GAYLE",
        "authorized_official_first_name": "LELVE",
        "authorized_official_middle_name": "JUSTIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "979-229-9189",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J6453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Renee Kuhlmann, PA-C
• Alexander Kunjappy, MD
• Ronald B Kuppersmith, M.D.
• Teresa Renea Kutch, LMT, MTI
• Danielle Nicole Kutzenberger, P.A.
• Bart Labowitz, M.S. CCC/SLP
• Douglas I Laird, PA-C
• Christopher Lam, MD
• Bailey Lambert
• Gary Lambert, MD

• Obstetrics & Gynecology Physician in College Station, TX
• Providers in College Station, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.