Individual provider Active NPI

Jie Gong

  • Family Nurse Practitioner
  • Brownsville, TX
National Provider Identifier
1235912148
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1131788 Issued in TX
Practice address
3956 Galicia CT
Brownsville, TX 78520-4680
Phone
(956) 346-2230
NPI assigned
Aug 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1131788 TX
Family Nurse Practitioner 363LF0000X 1131788 TX Primary

Addresses

Primary practice location

3956 Galicia CT
Brownsville, TX 78520-4680

Mailing address

3956 Galicia CT
Brownsville, TX 78520-4680
Phone (956) 346-2230

Other practice location 1

1900 N. Expressway 83
Ste D
Brownsville, TX 78521
Phone (956) 346-2230

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
I20231109001254 TX Practitioner - Nurse Practitioner 0648627836 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brownsville Infectious Disease PA CurrentSince Sep 17, 2023 Accepting new patients

Locations

110 Uptown Ave
Ste B
Brownsville, TX 78520
Phone (956) 525-7817

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, 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": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1235912148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3956 GALICIA CT",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785204680",
            "telephone_number": "956-346-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3956 GALICIA CT",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785204680",
            "telephone_number": "956-346-2230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 N. Expressway 83",
            "address_2": "Ste D",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "78521",
            "country_code": "US",
            "telephone_number": "956-346-2230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONG",
        "first_name": "JIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1131788",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1131788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.