IndividualActive
Brian Gonzales, AGACNP-BC
NPI 1295453397 · Acute Care Nurse Practitioner · Columbia, MO
Provider details
- NPI number
- 1295453397
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP-BC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2022020263 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1600 E Broadway
Columbia, MO 65201-5897
Phone: (573) 815-8000
Fax: (573) 815-2492
Approximate (ZIP-level) locationGet directions
Mailing address
810 Shakertown Way
Columbia, MO 65203-6048
Registry dates
- Enumerated
- 2022-08-16
- Last updated
- 2022-08-16
- Certified
- 2022-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.