Individual provider Active NPI

Gabriel Alejandro Bien-Willner, M.D., PH.D.

  • Molecular Genetic Pathology (Pathology) Physician
  • Oak Ridge North, TX
National Provider Identifier
1154573251
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Molecular Genetic Pathology (Pathology) PhysicianTaxonomy code 207ZP0007X
License
Q1360 Issued in TX
Practice address
26797 Hanna Rd BLDG 4D1
Oak Ridge North, TX 77385-6628
Phone
(832) 687-8555
NPI assigned
Oct 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 2008015640 MO
Molecular Genetic Pathology (Pathology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0007X Q1360 TX Primary

Addresses

Primary practice location

26797 Hanna Rd BLDG 4D1
Oak Ridge North, TX 77385-6628

Mailing address

6 Eden Elm PL # 8118
The Woodlands, TX 77381-3123
Phone (832) 687-8555

Other practice location 1

660 S Euclid Ave
Box 8118
Saint Louis, MO 63110-1010
Phone (314) 294-9297

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
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
Q1360TXMDMolecular Genetic Pathology (Pathology) Physician
2008015640MOMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bien-Willner Physicians GRP PA Single Specialty Current Accepting new patients
BWPG Lykos Labs LLC Single Specialty CurrentSince Sep 25, 2022 Accepting new patients

Locations

26797 Hanna Rd
Bldg 4D1
Oak Ridge North, TX 77385
Phone (346) 831-0189

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1154573251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 EDEN ELM PL # 8118",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773813123",
            "telephone_number": "832-687-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26797 HANNA RD BLDG 4D1",
            "city": "OAK RIDGE NORTH",
            "state": "TX",
            "postal_code": "773856628",
            "telephone_number": "832-687-8555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 S Euclid Ave",
            "address_2": "Box 8118",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631101010",
            "country_code": "US",
            "telephone_number": "314-294-9297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIEN-WILLNER",
        "first_name": "GABRIEL",
        "middle_name": "ALEJANDRO",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "MO",
            "license": "2008015640",
            "primary": false
        },
        {
            "code": "207ZP0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": "TX",
            "license": "Q1360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge North, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.