Individual provider Active NPI

Gregg Bennett Wells, M.D.

  • Neuropathology Physician
  • College Station, TX
National Provider Identifier
1811168701
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuropathology PhysicianTaxonomy code 207ZN0500X
License
L0687 Issued in TX
Practice address
440 Reynolds Medical Building
1114Tamu/Molecular and Cellular Medicine
College Station, TX 77843-1114
Phone
(979) 458-8888
Fax
(979) 847-9481
NPI assigned
Mar 18, 2008
Last updated
Mar 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuropathology Physician 207ZN0500X L0687 TX Primary

Addresses

Primary practice location

440 Reynolds Medical Building
1114Tamu/Molecular and Cellular Medicine
College Station, TX 77843-1114

Mailing address

440 Reynolds Medical Building
1114Tamu/Molecular and Cellular Medicine
College Station, TX 77843-1114
Phone (979) 458-8888

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L0687TXMDNeuropathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1811168701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 REYNOLDS MEDICAL BUILDING",
            "address_2": "1114TAMU/MOLECULAR AND CELLULAR MEDICINE",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778431114",
            "telephone_number": "979-458-8888",
            "fax_number": "979-847-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 REYNOLDS MEDICAL BUILDING",
            "address_2": "1114TAMU/MOLECULAR AND CELLULAR MEDICINE",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778431114",
            "telephone_number": "979-458-8888",
            "fax_number": "979-847-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "GREGG",
        "middle_name": "BENNETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZN0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Neuropathology",
            "state": "TX",
            "license": "L0687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.