NPIMap

Individual provider Active NPI

Beverly Spaulding Gutierrez, M.D.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1023057528
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G7891 Issued in TX
Practice address
1010 NW Loop 410 Ste 100a
San Antonio, TX 78213-2220
Phone
(210) 886-8031
Fax
(210) 886-8059
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X G7891 TX
Family Medicine Physician 207Q00000X G7891 TX Primary

Addresses

Primary practice location

1010 NW Loop 410 Ste 100a
San Antonio, TX 78213-2220

Mailing address

121 Hunters GLN
Floresville, TX 78114-4213
Phone (210) 886-8031

Other practice location 1

9522 Huebner Rd
San Antonio, TX 78240-1548
Phone (210) 886-8031

Other identifiers 1

IdentifierTypeStateIssuer
G7891OtherTXTX LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050825001024 TX Practitioner - Family Practice 1153352414 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CS Pacs 3 Southwest, LLC 23 clinicians

Practice addresses (Care Compare)

310 E Lawrence St
Dayton, TX 77535-1805
Phone (936) 258-7227

Hospital & facility affiliations

  • Southeast Nursing & Rehabilitation Center Nursing home, San Antonio, TX, CCN 675883
  • Avir at San Antonio Nursing home, San Antonio, TX, CCN 455713
  • San Pedro Manor Nursing home, San Antonio, TX, CCN 455689
  • Normandy Terrace Nursing & Rehabilitation Center Nursing home, San Antonio, TX, CCN 675823
  • Buena Vida Nursing and Rehab-San Antonio Nursing home, San Antonio, TX, CCN 455390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E7891TXMDHematology & Oncology Physician
G7891TXMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Southwest, LLC CurrentSince Sep 9, 2024 Accepting new patients
Lonestar Hospital Medicine Associates, PA CurrentSince Aug 3, 2017 Accepting new patients
NV Pacs 2 LLC CurrentSince Jul 1, 2021 Accepting new patients
Ipc Pac Healthcare Services of Texas PLLC Family Medicine CurrentSince Aug 3, 2017 Accepting new patients
Guadalupe County Hospital Board Past Accepting new patients
Summit LTC San Antonio, LLC Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients
Quality Care Medical Services LTD Past Accepting new patients
Francisco B. Rodriguez IV MD PA Past Accepting new patients
Guadalupe County Hospital Board Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients
Community Medicine Associates Family Medicine PastSince Mar 22, 2020 Accepting new patients
Hamilton County Hospital District Past Accepting new patients

Locations

999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088

310 E Lawrence St
Dayton, TX 77535
Phone (936) 258-7227

201 Sycamore School Rd
#R
Fort Worth, TX 76134
Phone (817) 293-7610

6301 Oakmont Blvd
Ft Worth, TX 76132
Phone (682) 250-4055

415 Indian Oaks Dr
Harker Hts, TX 76548
Phone (254) 699-5051

721 W Mulberry St
Holiday Lakes, TX 77515
Phone (979) 848-0279

13500 Breton Ridge St
Houston, TX 77070
Phone (281) 807-4744

2101 W Northgate Dr
Irving, TX 75062
Phone (972) 255-4460

208 S Utah St
La Porte, TX 77571
Phone (281) 471-1810

811 Garner Rd
Pasadena, TX 77502
Phone (713) 473-0687

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

6211 S New Braunfels Ave
#T
San Antonio, TX 78223
Phone (210) 531-0569

424 Tarpey Rd
#C
Texas City, TX 77591
Phone (409) 938-8431

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
San Pedro ManorSan Antonio, TX, CCN 455689 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Feb 1, 2021
Feb 1, 2021
Feb 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1023057528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 HUNTERS GLN",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781144213",
            "telephone_number": "210-886-8031",
            "fax_number": "210-886-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 NW LOOP 410 STE 100A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132220",
            "telephone_number": "210-886-8031",
            "fax_number": "210-886-8059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9522 Huebner Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782401548",
            "country_code": "US",
            "telephone_number": "210-886-8031",
            "fax_number": "210-886-8059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "BEVERLY",
        "middle_name": "SPAULDING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "G7891",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G7891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE NUMBER",
            "identifier": "G7891",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.