Individual provider Active NPI

Elizabeth Tien Nguyen, MD

  • Sports Medicine (Family Medicine) Physician
  • Bryan, TX
National Provider Identifier
1295265593
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
T9197 Issued in TX
Practice address
3121 University Dr E Ste 100
Bryan, TX 77802-3499
Phone
(799) 776-0169
Fax
(799) 776-1342
NPI assigned
Jun 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X T9197 TX Primary
Pediatrics Physician 208000000X ME144828 FL
Pediatrics Physician 208000000X T9197 TX

Addresses

Primary practice location

3121 University Dr E Ste 100
Bryan, TX 77802-3499

Mailing address

8441 State Hwy 47
Ste 3115
Bryan, TX 77807
Phone (979) 436-9703

Other practice location 1

2900 E 29th St Ste 200
Bryan, TX 77802-2623
Phone (979) 776-8440

Other identifiers 2

IdentifierTypeStateIssuer
2J4411OtherTXMEDICARE PTAN
105940200MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221003002084 TX Practitioner - Pediatric Medicine 0042611766 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Texas a & M University System, HSC, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2900 E 29TH St
Suite 200
Bryan, TX 77802-2623
Phone (979) 776-8440

3201 University Dr E
Suite 320
Bryan, TX 77802-3478
Phone (979) 704-5029

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.62 of 100Reported as group
Quality
58.26
Promoting interoperability
97
Improvement activities
40
Cost
76.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME144828FLMDPediatrics Physician
T9197TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brazos Valley Physicians Alliance CurrentSince Jul 1, 2023 Accepting new patients
Brazos Valley Physicians Alliance CurrentSince Jul 1, 2023 Accepting new patients
Texas a&M University System Health Science Center CurrentSince Oct 1, 2022 Accepting new patients
Texas a&M University System Health Science Center CurrentSince Oct 1, 2022 Accepting new patients
Texas a&M University System Health Science Center Past Accepting new patients

Locations

2900 E 29th St
Ste 100
Bryan, TX 77802
Phone (979) 436-0485

1301 Memorial Dr
Ste 100
Bryan, TX 77802
Phone (979) 862-4465

3121 University Dr E
Ste 100
Bryan, TX 77802
Phone (979) 776-0169

3201 University Dr E
Ste 3
Bryan, TX 77802
Phone (979) 704-5029

2900 E 29th St
Bryan, TX 77802
Phone (979) 436-0700

2900 E 29th St
Ste 200
Bryan, TX 77802
Phone (979) 436-0483

1905 Dove Crossing Ln
Ste A
Navasota, TX 77868
Phone (936) 825-0755

Interoperability endpoints

  • Direct secure messaging: elizabeth.nguyen.1@25466.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1295265593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8441 STATE HWY 47",
            "address_2": "STE 3115",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "77807",
            "telephone_number": "979-436-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 UNIVERSITY DR E STE 100",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023499",
            "telephone_number": "799-776-0169",
            "fax_number": "799-776-1342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 E 29th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "TX",
            "postal_code": "778022623",
            "country_code": "US",
            "telephone_number": "979-776-8440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ELIZABETH",
        "middle_name": "TIEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "T9197",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME144828",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "T9197",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2J4411",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105940200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.