P Praxis·MD
● Active Type 1 · Individual

Ryan Clarke Gottfredson, D.O.

Preventive Medicine·Jbsa Lackland, TX· NPI 1447562616 · Enumerated 2010 · 15 years on NPI
Gottfredson is 1 of 6 preventive medicine providers in Jbsa Lackland and 1 of 154 in Texas.
NPI age
15 years
Enumerated 2010-07-05
Primary specialty
Preventive Medicine
Plus 1 subspecialty
Licensed in
VA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-07-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 154 active preventive medicine providers in Texas.

NPI age
15 years
≈ at median (16 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 33% of peers with subspecialties

NPI lifetime · 2010 → 2026

2010-07Enumerated in NPPES
2010 2026

Where they practice

Practice location
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236
📞 2102926225
Mailing address
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 782365638
📞 2102926225

Specialties

  • Preventive Medicine Primary
    Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with...
    VA license #0102203077 taxonomy 2083P0901X
  • Pediatrics
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    VA license #0102203077 taxonomy 208000000X

Practice context

Part of a multi-provider practice. 307 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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