Wellspring Physician, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WELLSPRING PHYSICIAN, PA

Practice address

4359 Roans Chapel Rd
College Station, TX 77845-4096

Phone

(855) 673-2876

NPI assigned

Aug 18, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Kathryn J Sowerwine, MD

Title

Chief Medical Officer

Phone

(979) 221-1398

Specialties & licenses 4

Addresses

Other names 2

• Recuro Health Doing business as
• Wellspring Physician Other name

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trent Boone Graves, CNP

  • Family Nurse Practitioner
  • Sioux Falls, SD
  • NPI 1790267276
  Medicare reassignment NPD

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1437558210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4359 ROANS CHAPEL RD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454096",
            "telephone_number": "855-673-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4359 ROANS CHAPEL RD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454096",
            "telephone_number": "855-673-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING PHYSICIAN, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "SOWERWINE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "979-221-1398",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recuro Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellspring Physician",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Wellspring Physician",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Wellpoint Physical Therapy Services, P.C.
• Wells Counseling Services, PLLC
• David R Wells, MA, LPC
• Gregg Bennett Wells, M.D.
• Robert Wells
• Heidi Rachel Wendenburg
• Teresa L Westerbur, OTR
• Ainsley LD Westlake
• Cynthia Gayle Weston, FNP
• Megan Ann Westwood

• Family Medicine Physician in College Station, TX
• Providers in College Station, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.