Active NPI
Steven M. Bauer, M.D., PA
- Internal Medicine Physician
- San Antonio, TX
National Provider Identifier
1013186170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- K2411
- Legal business name
- STEVEN M. BAUER, M.D., PA
- Practice address
- 20642 Stone Oak Pkwy
Suite 108
San Antonio, TX 78258-7362 - Phone
- (210) 492-0505
- Fax
- (210) 492-0504
- NPI assigned
- Feb 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven Michael Bauer, M.D.
- Title
- President
- Phone
- (210) 492-0505
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | K2411 | TX | Primary |
Addresses
Primary practice location
20642 Stone Oak Pkwy
Suite 108
San Antonio, TX 78258-7362
Mailing address
20642 Stone Oak Pkwy
Suite 108
San Antonio, TX 78258-7362
Phone (210) 492-0505
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0013JL | Other | TX | BCBS |
| 0044RC | Other | TX | BCBS |
| 163518701 | Medicaid | TX | |
| DD4786 | Other | TX | PALMETTO RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
20642 Stone Oak Pkwy
Ste 108
San Antonio, TX 78258
Phone (210) 490-0505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286236800000",
"number": "1013186170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20642 STONE OAK PKWY",
"address_2": "SUITE 108",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782587362",
"telephone_number": "210-492-0505",
"fax_number": "210-492-0504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20642 STONE OAK PKWY",
"address_2": "SUITE 108",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782587362",
"telephone_number": "210-492-0505",
"fax_number": "210-492-0504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVEN M. BAUER, M.D., PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-22",
"last_updated": "2010-10-05",
"status": "A",
"authorized_official_last_name": "BAUER",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "210-492-0505",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "K2411",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0013JL",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0044RC",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163518701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO RAILROAD MEDICARE",
"identifier": "DD4786",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.