Active NPI
Kathryn Gowers, PA-C
- Physician Assistant
- Bryan, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA16750
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA16750 | TX | MD | Physician Assistant |
| 5313279-1206 | UT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DCS Medical PA | Current | Accepting new patients | |
| Vitality Health Partners PLLC | Current | Accepting new patients | |
| DCS Medical PA | Current | Accepting new patients | |
| MW Wellness III, LLC | Current | 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.
-
- Family Medicine Physician
- Bryan, TX
- NPI 1184175531
-
- Family Medicine Physician
- Bryan, TX
- NPI 1356104210
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.