Beaver Medical Group, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BEAVER MEDICAL GROUP, PLLC

Practice address

7541 US Highway 87 E.
Suite #1
San Antonio, TX 78263-2407

Phone

(210) 648-9900

Fax

(210) 648-9902

NPI assigned

Mar 10, 2010

Last updated

Jun 11, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tracey L Frias

Title

Practice Manager

Phone

(210) 648-9900

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Gail Lynn Beaver, NP

  • Gerontology Nurse Practitioner
  • San Antonio, TX
  • NPI 1689665887
  Medicare reassignment Care Compare group NPD
• Hailey Leach, APRN FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1619641677
  Medicare reassignment Care Compare group NPD
• Vincent Gregory Gonzaba, MD

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1538192489
  Medicare reassignment NPD
• Nichole Graeber, C-NP

  • Nurse Practitioner
  • Boerne, TX
  • NPI 1871910521
  Medicare reassignment NPD
• Jessa Perry, NP

  • Family Nurse Practitioner
  • Fort Sam Houston, TX
  • NPI 1023528361
  Medicare reassignment NPD

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1093038648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7541 US HIGHWAY 87 E.",
            "address_2": "SUITE #1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78263",
            "telephone_number": "210-648-9900",
            "fax_number": "210-648-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7541 US HIGHWAY 87 E.",
            "address_2": "SUITE #1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782632407",
            "telephone_number": "210-648-9900",
            "fax_number": "210-648-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVER MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-10",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "FRIAS",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "210-648-9900"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Nicole Beaudoin, OTR
• Christa Beauregard, LCSW
• Beautiful Beginnings Counseling & Therapeutic Services PLLC
• Beautiful Image of San Antonio
• Gina Beauty
• Gail Lynn Beaver, NP
• Trent Allen Beaver I
• Heather Elizabeth Beavers, NP
• Lancia S. Beavers, FNP
• Grace Theresa Bebeau, FNP

• Internal Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.