Individual provider Active NPI

Kathryn Gowers, PA-C

  • Physician Assistant
  • Bryan, TX
National Provider Identifier
1053736017
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA16750 Issued in TX
Practice address
3851 Corporate Center Dr Ste 117
Bryan, TX 77802-3778
Phone
(979) 393-0639
NPI assigned
Feb 28, 2014
Last updated
Dec 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA16750 TX Primary
Physician Assistant 363A00000X 5313279-1206 UT

Addresses

Primary practice location

3851 Corporate Center Dr Ste 117
Bryan, TX 77802-3778

Mailing address

3851 Corporate Center Dr Ste 117
Bryan, TX 77802-3778
Phone (979) 393-0639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251119003401 TX Practitioner - Physician Assistant 9931323870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DCS Medical PAGroup PAC ID 0042507600, 155 clinicians

Practice addresses (Care Compare)

1115 E Tyler St
Integrity Urgent Care
Athens, TX 75751-2145
Phone (903) 292-5015

1289 University Dr
College Station, TX 77840-1559
Phone (979) 326-1967

1643 N Market St
Hearne, TX 77859-3873
Phone (979) 280-6099

3201 University Dr E
Bryan, TX 77802-3481
Phone (979) 703-1832

630 W US Hwy 79
Rockdale, TX 76567-5269
Phone (979) 209-0461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA16750TXMDPhysician Assistant
5313279-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DCS Medical PA CurrentSince Nov 6, 2025 Accepting new patients
Vitality Health Partners PLLC CurrentSince Feb 4, 2024 Accepting new patients
DCS Medical PA CurrentSince Nov 6, 2025 Accepting new patients
MW Wellness III, LLC CurrentSince Dec 3, 2023 Accepting new patients

Locations

1115 E Tyler St
Athens, TX 75751
Phone (903) 292-5015

3851 Corporate Center Dr
Ste 117
Bryan, TX 77802
Phone (979) 393-0369

3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1053736017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 CORPORATE CENTER DR STE 117",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023778",
            "telephone_number": "979-393-0639",
            "fax_number": "979-446-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 CORPORATE CENTER DR STE 117",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023778",
            "telephone_number": "979-393-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWERS",
        "first_name": "KATHRYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-28",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA16750",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "5313279-1206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.