Peter W Gonzalez (NPI# 1366577363, PAC ID# 7517193386) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1366577363 |
| PAC ID by PECOS | 7517193386 |
| Professional Enrollment ID | I20131127000174 |
| Full Name | Peter W Gonzalez |
| Organization Legal Name | MHMRA OF BRAZOS VALLEY |
| Address |
3438 Hwy 21 Madisonville TX 77864 |
| Phone Number | 9363483695 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1988 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 8123008505 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 109 W Trinity, Madisonville, TX 77864-1916 | 9363483695 | MHMRA OF BRAZOS VALLEY |
| 3438 Hwy 21, Madisonville, TX 77864 | 9363483695 | MHMRA OF BRAZOS VALLEY |
| Organization Legal Name | MHMRA OF BRAZOS VALLEY |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Charles Potts | Psychiatry | Mhmra of Brazos Valley | 804 N Texas Ave, Bryan, TX 77803-3365 |
| Lynn M Malseed | Psychiatry | Mhmra of Brazos Valley | 804 N Texas Ave, Bryan, TX 77803-3365 |
| Cynthia Joseph | Nurse Practitioner | Mhmra of Brazos Valley | 804 N Texas Ave, Bryan, TX 77803-3365 |
| Michele Jean Schmidt | Nurse Practitioner | Mhmra of Brazos Valley | 804 N Texas Ave, Bryan, TX 77803-3365 |
| Street Address |
3438 HWY 21 |
| City | MADISONVILLE |
| State | TX |
| Zip | 77864 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert T Tieperman | Chiropractic | 331 N May St, Tieperman Chiropractic, Madisonville, TX 77864-1656 | |
| David E Gaskin | Certified Registered Nurse Anesthetist (crna) | 802 E Main St, Madisonville, TX 77864-2041 | |
| John A Healy Iii | Emergency Medicine | Brazos Valley Emergency Physicians Pa | 100 W Cross St, Madisonville, TX 77864-2432 |
| Rebecca Korn | Clinical Social Worker | Senior Psychological Care I LLC | 411 E Collard St, Madisonville, TX 77864-3306 |
| City | MADISONVILLE |
| Zip Code | 77864 |
| Specialty | PSYCHIATRY |
| City + Specialty | MADISONVILLE + PSYCHIATRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.