Active NPI
Phil Reedy, PA
- Medical Physician Assistant
- Bryan, TX
National Provider Identifier
1801876479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- P402756
- Practice address
- 1707 Broadmoor Dr
Suite 100
Bryan, TX 77802-5233 - Phone
- (979) 776-7767
- Fax
- (979) 774-4986
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | P402756 | TX | Primary |
Addresses
Primary practice location
1707 Broadmoor Dr
Suite 100
Bryan, TX 77802-5233
Mailing address
1707 Broadmoor Dr
Suite 100
Bryan, TX 77802-5233
Phone (979) 776-7767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P402756 | TX | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1801876479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 BROADMOOR DR",
"address_2": "SUITE 100",
"city": "BRYAN",
"state": "TX",
"postal_code": "778025233",
"telephone_number": "979-776-7767",
"fax_number": "979-774-4986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 BROADMOOR DR",
"address_2": "SUITE 100",
"city": "BRYAN",
"state": "TX",
"postal_code": "778025233",
"telephone_number": "979-776-7767",
"fax_number": "979-774-4986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEDY",
"first_name": "PHIL",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "P402756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.