Individual provider Active NPI

Gabrielle Faye Daniel, M.D.

  • Physical Medicine & Rehabilitation Physician
  • San Antonio, TX
National Provider Identifier
1720407828
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
R7973 Issued in TX
Practice address
11407 Wayland Way
San Antonio, TX 78233-5890
Phone
(843) 654-7671
NPI assigned
Apr 16, 2014
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X R7973 TX Primary

Addresses

Primary practice location

11407 Wayland Way
San Antonio, TX 78233-5890

Mailing address

810 Silverado Way
San Antonio, TX 78260-2526
Phone (919) 448-5380

Other practice location 1

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (210) 916-5586

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
I20181108001126 TX Practitioner - Physical Medicine and Rehabilitation 4385998418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Howard University College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pam Physician EnterpriseGroup PAC ID 1254628589, 34 clinicians

Practice addresses (Care Compare)

11407 Wayland Way
San Antonio, TX 78233-5890
Phone (210) 581-5300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pam Physician Enterprise Physical Medicine & Rehabilitation CurrentSince Apr 1, 2025 Accepting new patients
PRM of Texas PC PastSince Jul 1, 2020 Accepting new patients
PRM Texas Gynecology PC PastSince Jul 1, 2020 Accepting new patients

Locations

10323 State Highway 151
San Antonio, TX 78251
Phone (210) 581-5306

11407 Wayland Way
San Antonio, TX 78233
Phone (210) 232-1023

110 E Medical Center Blvd
Webster, TX 77598
Phone (281) 218-8797

Organizations & group practices 3

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": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1720407828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 SILVERADO WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782602526",
            "telephone_number": "919-448-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11407 WAYLAND WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782335890",
            "telephone_number": "843-654-7671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3551 Roger Brooke Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "782344504",
            "country_code": "US",
            "telephone_number": "210-916-5586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "GABRIELLE",
        "middle_name": "FAYE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "R7973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.