Organization Active NPI

Steven M. Bauer, M.D., PA

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1013186170
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K2411 Issued in TX
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

Updated by the provider on Oct 5, 2010

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0013JLOtherTXBCBS
0044RCOtherTXBCBS
163518701MedicaidTX
DD4786OtherTXPALMETTO RAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.