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

Andrew Pellegrin, MD

Individual provider Family Medicine Physician · NPI 1013365832

Andrew Pellegrin, MD is a Family Medicine Physician in Jbsa Randolph, Texas. Licensed in Nebraska. Registered with an NPI since 2016.

Licensed in
NE
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

221 3rd St W Bldg 1040
Jbsa Randolph, TX 78150-4800
Phone: (210) 652-8544
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 30354 (NE)

Record details

NPI number1013365832
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2016
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026
Mailing address221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800

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