Organization Active NPI

South Texas Surgical Associates PLLC

  • Surgical Physician Assistant
  • San Antonio, TX
National Provider Identifier
1093198970
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
SOUTH TEXAS SURGICAL ASSOCIATES PLLC
Practice address
20770 US Highway 281 N
#108-439
San Antonio, TX 78258-7519
Phone
(281) 820-1900
Fax
(281) 820-1901
NPI assigned
Jul 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Authorized official

Name
Adam Bruggeman, M.D.
Title
MBR
Phone
(210) 373-3704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

20770 US Highway 281 N
#108-439
San Antonio, TX 78258-7519

Mailing address

PO Box 8308
Spring, TX 77387-8308
Phone (800) 785-8765

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1093198970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8308",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773878308",
            "telephone_number": "800-785-8765",
            "fax_number": "281-820-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20770 US HIGHWAY 281 N",
            "address_2": "#108-439",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587519",
            "telephone_number": "281-820-1900",
            "fax_number": "281-820-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS SURGICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "BRUGGEMAN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "210-373-3704",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "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 Jul 9, 2015; 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.