KORY LEE GILL (D.O.) – Sports Medicine (Family Medicine) Physician, NPI 1154582716

KORY LEE GILL (D.O.) is a healthcare provider. based in Bryan, Texas. specializing in Sports Medicine (Family Medicine) Physician. They hold the professional credentials D.O.. They hold a License No. M8674 (TX). The NPI Number for KORY LEE GILL (D.O.) is 1154582716

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
KORY LEE GILL (D.O.)
NPI
1154582716
Phone
(979) 776-8440
Address
2900 E 29th St
Enumeration Date
17 June 2008
Last Update Date
27 July 2020

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Secondary Phone
9797760169
Graduation Year
2005 (21 years ago)
PAC ID
6002963907
Group Practice PAC ID
1052604006
Professional Enrollment ID
I20090410000154
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

Provider Addresses for KORY LEE GILL (D.O.)

  • 2900 E 29th St

    Bryan, TX 778022622

    Phone: (979) 776-8440

    Fax: (979) 776-6905

    Type: Location

  • 2900, East 29th Street, Bryan, Brazos County, Texas, 77802, United States

    BRYAN, TX 778022622

    Phone: (979) 776-8440

    Fax: (979) 776-6905

    Type: Mailing

  • University Drive East, Bryan, Brazos County, Texas, 77802, United States

    BRYAN, TX 778023499

    Phone: (979) 776-0169

    Fax: (979) 776-1372

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77802)

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Provider's Procedures

KORY LEE GILL (D.O.) performs procedures in Sports Medicine (Family Medicine) Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETX62311Injections of substances into lower or sacral spine2014

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052604006View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Hand SurgeryND
Physician AssistantTX
General SurgeryTX
Orthopedic Surgery, Sports MedicineTX
Pediatric MedicineTX
Family PracticeTX
Family PracticeTX
Family Practice, Emergency Medicine, General Practice, Physical Medicine And RehabilitationTX
Physical Therapist In Private PracticeCT

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Frequently asked questions

What federal number belongs to KORY LEE GILL (D.O.)?
The federal identifier for KORY LEE GILL (D.O.) is NPI 1154582716.
Is KORY LEE GILL (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does KORY LEE GILL (D.O.) treat or focus on?
Patients typically see KORY LEE GILL (D.O.) under the specialty Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where is KORY LEE GILL (D.O.)'s primary listing?
We display Bryan, Texas because that is what the record indicates for KORY LEE GILL (D.O.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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