Active NPI
Patrick Edward Patke
- Dentist
- Bryan, TX
National Provider Identifier
1003514191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 42466
- Practice address
- 2310 E Villa Maria Rd
Bryan, TX 77802-2549 - Phone
- (979) 776-7166
- NPI assigned
- Feb 20, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 42466 | TX | Primary |
Addresses
Primary practice location
2310 E Villa Maria Rd
Bryan, TX 77802-2549
Mailing address
3601 Brighton Dr
Bryan, TX 77802-5802
Phone (979) 286-0542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1003514191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 BRIGHTON DR",
"city": "BRYAN",
"state": "TX",
"postal_code": "778025802",
"telephone_number": "979-286-0542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 E VILLA MARIA RD",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022549",
"telephone_number": "979-776-7166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATKE",
"first_name": "PATRICK",
"middle_name": "EDWARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-20",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "42466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.