Active NPI
Therapeutic Dimensions PLLC
- Interventional Pain Medicine Physician
- San Antonio, TX
National Provider Identifier
1063643633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- THERAPEUTIC DIMENSIONS PLLC
- Practice address
- 8715 Village Dr
Suite 514
San Antonio, TX 78217-5405 - Phone
- (210) 824-5292
- Fax
- (210) 824-5240
- NPI assigned
- Jul 30, 2009
- Organization subpart
- Yes
- Parent organization
- THERAPEUTIC DIMENSIONS, PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gordon A Beardwood, M.D.
- Title
- Owner
- Phone
- (210) 824-5292
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | TX | ||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | TX | ||
| Interventional Pain Medicine Physician | 208VP0014X | TX | Primary |
Addresses
Primary practice location
8715 Village Dr
Suite 514
San Antonio, TX 78217-5405
Mailing address
PO Box 1337
San Antonio, TX 78295-1337
National Provider Directory
National Provider Directory- Part of
- Therapeutic Dimensions PLLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Interventional Pain Medicine Physician
- Austin, TX
- NPI 1386978187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266537600000",
"number": "1063643633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1337",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782951337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8715 VILLAGE DR",
"address_2": "SUITE 514",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782175405",
"telephone_number": "210-824-5292",
"fax_number": "210-824-5240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPEUTIC DIMENSIONS PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THERAPEUTIC DIMENSIONS, PLLC",
"enumeration_date": "2009-07-30",
"last_updated": "2010-02-19",
"status": "A",
"authorized_official_last_name": "BEARDWOOD",
"authorized_official_first_name": "GORDON",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-824-5292",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Feb 19, 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.