NPIMap

Organization Active NPI

Bsisa PLLC

Doing business as Brain and Spine Institute of San Antonio

  • Neurological Surgery Physician
  • Live Oak, TX
National Provider Identifier
1053932608
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
BSISA PLLC
Doing business as
Brain and Spine Institute of San Antonio
Practice address
12709 Toepperwein Rd Ste 101
Live Oak, TX 78233-3259
Phone
(210) 625-4733
Fax
(210) 625-4734
NPI assigned
May 5, 2020
Last updated
Aug 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Osama Ahmed, MDNPI 1083857551
Title
Owner/MD
Phone
(210) 625-4733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

12709 Toepperwein Rd Ste 101
Live Oak, TX 78233-3259

Mailing address

PO Box 4585, MSC#700
Houston, TX 77210-4595
Phone (210) 625-4733

Other practice location 1

1100 McCullough Ave
San Antonio, TX 78212-4813
Phone (210) 625-4733

Other practice location 2

12702 N Ih 35
Live Oak, TX 78233-2609
Phone (210) 625-4733

Other names 1

  • BRAIN AND SPINE INSTITUTE OF SAN ANTONIO Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200602002831 TX Part B Supplier - Clinic/Group Practice 0749601599 Receives reassigned benefits from 7 practitioners
Practice locations: San Antonio, TX; Live Oak, TX; Hondo, TX; New Braunfels, TX
O20201218000957 TX DME Supplier - Physician - Neurosurgery 0749601599 Practice locations: Live Oak, TX

National Provider Directory

National Provider Directory

Locations

2115 Stephens Pl
Ste 1400
New Braunfels, TX 78130
Phone (830) 715-0538

1100 McCullough Ave
San Antonio, TX 78212

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1053932608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4585, MSC#700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104595",
            "telephone_number": "210-625-4733",
            "fax_number": "210-625-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12709 TOEPPERWEIN RD STE 101",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333259",
            "telephone_number": "210-625-4733",
            "fax_number": "210-625-4734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 McCullough Ave",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782124813",
            "country_code": "US",
            "telephone_number": "210-625-4733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12702 N Ih 35",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "TX",
            "postal_code": "782332609",
            "country_code": "US",
            "telephone_number": "210-625-4733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BSISA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-05",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "OSAMA",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "210-625-4733",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRAIN AND SPINE INSTITUTE OF SAN ANTONIO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BRAIN AND SPINE INSTITUTE OF SAN ANTONIO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Live Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.