Privia Medical Group Gulf Coast PLLC
NPI 1134901960 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Bryan, TX
Privia Medical Group Gulf Coast PLLC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician organization in Bryan, TX (NPI 1134901960).
Provider details
- NPI number
- 1134901960
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Barbara Jordan, Vp, Revenue Cycle Management(713) 512-7613
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Other names (DBA / former)
- Doing business as
- Premiere Sports and Family Medicine
Registry dates
- Enumerated
- 2023-10-17
- Last updated
- 2023-10-17
- Certified
- 2023-10-17
Frequently asked questions
- What is Privia Medical Group Gulf Coast PLLC's NPI number?
- Privia Medical Group Gulf Coast PLLC's National Provider Identifier (NPI) is 1134901960, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Privia Medical Group Gulf Coast PLLC?
- Privia Medical Group Gulf Coast PLLC is classified in the NPPES registry as Sports Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Privia Medical Group Gulf Coast PLLC located?
- Privia Medical Group Gulf Coast PLLC's practice location on file with NPPES is 3201 University Dr E Ste 245, Bryan, TX 77802-3483.
- What is Privia Medical Group Gulf Coast PLLC's phone number?
- The practice phone number listed in the NPPES registry for Privia Medical Group Gulf Coast PLLC is (979) 731-3100.
- Who is the authorized official for Privia Medical Group Gulf Coast PLLC?
- The authorized official listed on Privia Medical Group Gulf Coast PLLC's NPPES record is Barbara Jordan, Vp, Revenue Cycle Management. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Privia Medical Group Gulf Coast PLLC's NPI active?
- Yes — Privia Medical Group Gulf Coast PLLC's NPI (1134901960) is active in the NPPES registry as of the last update on 2023-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.