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

Mr. Brian Edward Gonzales, AGACNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1295453397

Mr. Brian Edward Gonzales, AGACNP-BC is a Nurse Practitioner in Columbia, Missouri. Qualified in 2022, 4 years ago. Practices with Boone Physician Services LLC, a 240-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
4
Licensed in
MO
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

1600 E Broadway
Columbia, MO 65201-5897
Phone: (573) 815-8000
Fax: (573) 815-2492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 2022020263 (MO)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 2022020263 (MO)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 2022020263 (MO)

Record details

NPI number1295453397
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorYes
NPI enumeratedAugust 16, 2022
Last updated in NPPESAugust 16, 2022
Certification dateAugust 16, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Boone Physician Services Llc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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