NPI age
6 years
Enumerated 2020-04-10
● Active
Type 1 · Individual
Kacie Wallace Gonzales
Gonzales is 1 of 38 physician assistant providers in Bryan and 1 of 11022 in Texas.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
TX, OK
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-01-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 11022 active physician assistant providers in Texas.
NPI age
6 years
↓ 4 yr below median (10 yr)
State licenses
2 states
Top 92% — 7% of peers are multi-state
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2020 → 2026
2020-04Enumerated in NPPES
2020
2026
Where they practice
Practice location
2215 E Villa Maria Rd Ste 110
Bryan, TX 778022585
Mailing address
2215 E Villa Maria Rd Ste 110
Bryan, TX 778022585
Additional practice locations
1 secondary location on file with NPPES.
Location 2
2435 Harvey Mitchell Parkway South
College Station, TX 77845
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
Recently enumerated nearby: 3 new physician assistant providers have been added in Bryan in the last 180 days.
See all →
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.