Robert D Blume, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA13426 Issued in TX

Practice address

510 Med CT Ste 210
San Antonio, TX 78258-3484

Phone

(210) 494-4290

Fax

(210) 494-4809

NPI assigned

Oct 3, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Yolanda Marcos MD PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1457616534
  Medicare reassignment
• Hillside Primary Care PLLC

  • Internal Medicine Physician
  • Live Oak, TX
  • NPI 1205349040
  NPD (past)

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1114201654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 MED CT STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583484",
            "telephone_number": "210-494-4290",
            "fax_number": "210-494-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 MED CT STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583484",
            "telephone_number": "210-494-4290",
            "fax_number": "210-494-4809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3551 Roger Brooke Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "782344504",
            "country_code": "US",
            "telephone_number": "210-539-9582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUME",
        "first_name": "ROBERT",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-03",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@marcosmedical.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "510 Med Ct Ste 210",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782583484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jean A Bluestein, M.D.
• Bluffivew Family Practice
• Maria Elisabeth Blum, M.D.
• Ashlee N Blume, PA
• Carlen Palmer Blume, DDS
• Brittany Blumentals
• Robert B Blumer, MD
• Ralph Blumhardt, MD
• Sean Michael Blumhardt, MS, CNIM
• Susan Elizabeth Blumhorst, M.A. BUISNESS OWNER

• Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.

Verify at the official NPI Registry.