Gulf Coast Gastroenterology, PA
NPI 1104904077 · Gastroenterology Physician · Lake Jackson, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gulf Coast Gastroenterology, PA is a Gastroenterology Physician organization in Lake Jackson, TX (NPI 1104904077).
Provider details
- NPI number
- 1104904077
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Britiany Bush, Office Manager(979) 297-4033
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2023-09-18
- Certified
- 2023-09-18
Frequently asked questions
- What is Gulf Coast Gastroenterology, PA's NPI number?
- Gulf Coast Gastroenterology, PA's National Provider Identifier (NPI) is 1104904077, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gulf Coast Gastroenterology, PA?
- Gulf Coast Gastroenterology, PA is classified in the NPPES registry as Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Gulf Coast Gastroenterology, PA located?
- Gulf Coast Gastroenterology, PA's practice location on file with NPPES is 219 Oak Dr S Ste a, Lake Jackson, TX 77566-5675.
- What is Gulf Coast Gastroenterology, PA's phone number?
- The practice phone number listed in the NPPES registry for Gulf Coast Gastroenterology, PA is (979) 297-4033.
- Does Gulf Coast Gastroenterology, PA accept Medicare?
- Gulf Coast Gastroenterology, PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Gulf Coast Gastroenterology, PA?
- The authorized official listed on Gulf Coast Gastroenterology, PA's NPPES record is Britiany Bush, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gulf Coast Gastroenterology, PA's NPI active?
- Yes — Gulf Coast Gastroenterology, PA's NPI (1104904077) is active in the NPPES registry as of the last update on 2023-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.