Active NPI
Gregory S. Remien, P.A.C.
- Medical Physician Assistant
- Bryan, TX
National Provider Identifier
1831255298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA11207
- Practice address
- 3121 University Dr E Ste 100
Bryan, TX 77802 - Phone
- (979) 776-0169
- Fax
- (979) 776-1372
- NPI assigned
- Dec 29, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA10004798 | WA | |
| Surgical Physician Assistant | 363AS0400X | PA10004798 | WA | |
| Medical Physician Assistant | 363AM0700X | PA11207 | TX | Primary |
Addresses
Primary practice location
3121 University Dr E Ste 100
Bryan, TX 77802
Mailing address
3121 University Dr E Ste 100
Bryan, TX 77802-3473
Phone (979) 776-0169
Other practice location 1
209 Martin Luther King Jr Way
Tacoma, WA 98405-4265
Phone (253) 596-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 374100101 | Medicaid | TX |
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 |
|---|---|---|---|
| PA11207 | TX | MD | Medical Physician Assistant |
| PA10004798 | WA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538438400000",
"number": "1831255298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3121 UNIVERSITY DR E STE 100",
"city": "BRYAN",
"state": "TX",
"postal_code": "778023473",
"telephone_number": "979-776-0169",
"fax_number": "979-776-1372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3121 UNIVERSITY DR E STE 100",
"city": "BRYAN",
"state": "TX",
"postal_code": "77802",
"telephone_number": "979-776-0169",
"fax_number": "979-776-1372"
}
],
"practiceLocations": [
{
"address_1": "209 Martin Luther King Jr Way",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984054265",
"country_code": "US",
"telephone_number": "253-596-3300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REMIEN",
"first_name": "GREGORY",
"middle_name": "S.",
"credential": "P.A.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2018-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA10004798",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WA",
"license": "PA10004798",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA11207",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "374100101",
"state": "TX"
}
],
"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 Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.