Active NPI
Benjamin Balderman, MD
- Pediatrics Physician
- San Antonio, TX
National Provider Identifier
1104404847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- U8948
- Practice address
- 11703 Huebner Rd Ste 104
San Antonio, TX 78230-1211 - Phone
- (210) 644-2320
- Fax
- (210) 702-6970
- NPI assigned
- Apr 1, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | U8948 | TX | Primary |
Addresses
Primary practice location
11703 Huebner Rd Ste 104
San Antonio, TX 78230-1211
Mailing address
11703 Huebner Rd Ste 104
San Antonio, TX 78230-1211
Phone (201) 644-2320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U8948 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medicine Associates | Pediatrics | Current | Accepting new patients |
Locations
11703 Huebner Rd
Ste 104
San Antonio, TX 78230
Phone (210) 644-2300
903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441
Interoperability endpoints
- bbalderman694637@uhssa.direct-ci.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761609600000",
"number": "1104404847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11703 HUEBNER RD STE 104",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782301211",
"telephone_number": "201-644-2320",
"fax_number": "210-702-6970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11703 HUEBNER RD STE 104",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782301211",
"telephone_number": "210-644-2320",
"fax_number": "210-702-6970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDERMAN",
"first_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-01",
"last_updated": "2025-10-28",
"certification_date": "2025-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "U8948",
"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 Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.