Individual provider Active NPI

Benjamin Balderman, MD

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1104404847
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
U8948 Issued in TX
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

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240321000733 TX Practitioner - Pediatric Medicine 6406293810 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
U8948TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medicine Associates Pediatrics CurrentSince Mar 18, 2024 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

  • Direct secure messaging: 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

Verify at the official NPI Registry.