Wellspring Physician, PC - Mi
NPI 1174062012 · Family Medicine Physician · Bryan, TX
Provider details
- NPI number
- 1174062012
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kathryn Sowerwine, Cmo(979) 221-1398
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Allergy & Immunology Physician207K00000X
Allopathic & Osteopathic Physicians
- Emergency Medicine Physician207P00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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)
- Other name
- Wellspring Physician, P.C. (mi)
Additional practice locations (1)
- 3410 Belle Chase Way Ste 600Lansing, MI 48911-4274Phone: (877) 872-0370Fax: (855) 908-2520
Registry dates
- Enumerated
- 2017-02-13
- Last updated
- 2025-09-02
- Certified
- 2024-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.