Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Privia Medical Group Gulf Coast PLLC

Organization Family Medicine Physician · NPI 1134901960

Privia Medical Group Gulf Coast PLLC is a Family Medicine Physician in Bryan, Texas. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3201 University Dr E Ste 245
Bryan, TX 77802-3483
Phone: (979) 731-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1134901960
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barbara Jordan — Vp, Revenue Cycle Management · (713) 512-7613
Other names Premiere Sports And Family Medicine
NPI enumeratedOctober 17, 2023
Last updated in NPPESOctober 17, 2023
Certification dateOctober 17, 2023
Mailing address1200 Binz St Ste 1490, Houston, TX 77004-6946

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