Individual provider Active NPI

Gustavo Eduardo Tafet, MD

  • Psychiatry Physician
  • Bryan, TX
National Provider Identifier
1649973959
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
47684 Issued in TX
Practice address
2900 E 29TH St
Bryan, TX 77802-2622
Phone
(305) 494-7565
NPI assigned
Mar 24, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 47684 TX Primary

Addresses

Primary practice location

2900 E 29TH St
Bryan, TX 77802-2622

Mailing address

2900 E 29TH St
Bryan, TX 77802-2622
Phone (305) 494-7565

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
I20230606002384 TX Practitioner - Psychiatry 1153788104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1989
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48792TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas a&M University System Health Science Center CurrentSince Mar 1, 2023 Accepting new patients
Texas a&M University System Health Science Center CurrentSince Mar 1, 2023 Accepting new patients

Locations

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

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

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

2900 E 29th St
Ste 300
Bryan, TX 77802
Phone (979) 774-8200

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

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": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1649973959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 E 29TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022622",
            "telephone_number": "305-494-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 E 29TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022622",
            "telephone_number": "305-494-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFET",
        "first_name": "GUSTAVO",
        "middle_name": "EDUARDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "47684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.