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

Jonathan Ponder

Individual provider Physician Assistant · NPI 1295129153

Jonathan Ponder is a Physician Assistant in Bryan, Texas. Qualified in 2015, 11 years ago. Practices with Scott and White Clinic, a 2,429-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
11
Licensed in
TX
In the registry since
2015
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Practice location Address checks out

3201 University Dr E
Bryan, TX 77802-3475
Phone: (979) 207-7400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1602 Rock Prairie Rd Ste 3000, College Station, TX 77845-5989 — (979) 776-8896

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA09890 (TX)

Record details

NPI number1295129153
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2015
Last updated in NPPESMarch 7, 2024
Certification dateMarch 7, 2024
Mailing addressPo Box 844658, Dallas, TX 75284-4658

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Scott And White Clinic — 2429 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

Other providers in Bryan