Active NPI
Robert S Bryan, LCSW
- Clinical Social Worker
- San Antonio, TX
National Provider Identifier
1114935665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 00139
- Practice address
- 7272 Wurzbach Rd
Suite 601
San Antonio, TX 78240-4801 - Phone
- (210) 615-8880
- Fax
- (210) 615-2279
- NPI assigned
- Aug 3, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 00139 | TX | Primary |
Addresses
Primary practice location
7272 Wurzbach Rd
Suite 601
San Antonio, TX 78240-4801
Mailing address
7272 Wurzbach Rd
Suite 601
San Antonio, TX 78240-4801
Phone (210) 615-8880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037684003 | Medicaid | TX | |
| 037684002 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00139 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deer Oaks Mental Health Associates PC | Past | Accepting new patients | |
| Deer Oaks Geriatric Services P C | Past | Accepting new patients | |
| Long Term Care Services, LP | Past | Accepting new patients |
Organizations & group practices 3
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.
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- Clinical Psychologist
- San Antonio, TX
- NPI 1134169287
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- Clinical Psychologist
- San Antonio, TX
- NPI 1639191547
-
- Clinical Psychologist
- Las Cruces, NM
- NPI 1134175763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213228800000",
"number": "1114935665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7272 WURZBACH RD",
"address_2": "SUITE 601",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782404801",
"telephone_number": "210-615-8880",
"fax_number": "210-615-2279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7272 WURZBACH RD",
"address_2": "SUITE 601",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782404801",
"telephone_number": "210-615-8880",
"fax_number": "210-615-2279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYAN",
"first_name": "ROBERT",
"middle_name": "S",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2008-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "00139",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "037684003",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "037684002",
"state": "TX"
}
],
"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 Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.