Rolando Gonzales Gomez Jr., PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA15061 Issued in TX

Practice address

2801 Franciscan Dr
Bryan, TX 77802-2544

Phone

(979) 776-2537

Fax

(979) 776-2526

NPI assigned

Oct 27, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Joseph Regional Health CenterGroup PAC ID 5294727921, 141 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI St Joseph Health Regional Hospital Hospital, Bryan, TX, CCN 450011
• Burleson St Joseph Health Center Hospital, Caldwell, TX, CCN 451305

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rgomez456705@direct.stlukeshealth.org
• Direct secure messaging: rolando.gomezjr@sjrhc.eclinicaldirectplus.com

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.

• St. Joseph Regional Health Center

  • Family Medicine Physician
  • Bryan, TX
  • NPI 1669557179

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• St Joseph Regional Health Center

  • Rural Health Clinic/Center
  • Franklin, TX
  • NPI 1780768911
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Burleson Lease Corp

  • Critical Access Hospital
  • Caldwell, TX
  • NPI 1568548683
  Care Compare affiliation
• Burleson St. Joseph Health Center of Caldwell, Texas

  • Critical Access Hospital
  • Caldwell, TX
  • NPI 1750377289
  Care Compare affiliation
• St Joseph Regional Health Center

  • General Acute Care Hospital
  • Bryan, TX
  • NPI 1942294939
  Care Compare affiliation
• St. Joseph Regional Health Center

  • General Acute Care Hospital
  • College Station, TX
  • NPI 1053963009
  Care Compare affiliation

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1194489963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S TEXAS AVE STE 202",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 FRANCISCAN DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022544",
            "telephone_number": "979-776-2537",
            "fax_number": "979-776-2526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1604 Rock Prairie Rd",
            "address_purpose": "LOCATION",
            "city": "College Station",
            "state": "TX",
            "postal_code": "778458343",
            "country_code": "US",
            "telephone_number": "979-680-5474",
            "fax_number": "979-680-5487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ROLANDO",
        "middle_name": "GONZALES",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-27",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194489963",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tajanae Glover
• Scott Douglas Goble, M.D.
• Jeffrey Dean Goddard, MD
• Goldstar Healthcare LLC
• Garrett Gomez, MD
• Kacie Wallace Gonzales
• Abbie Sue Gonzalez, RN
• Alexia Gonzalez, M.A, LPC
• Grantlan Layton Goodale, PHARMD, RPH
• Jennifer Ann Goode

• Physician Assistant in Bryan, TX
• Providers in Bryan, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.

Verify at the official NPI Registry.