Individual provider Active NPI

Robert Bryan Trimble, M.D.

  • Pediatrics Physician
  • Schertz, TX
National Provider Identifier
1144512633
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
P9977 Issued in TX
Practice address
5000 Schertz Pkwy
Suite 202
Schertz, TX 78154-1399
Phone
(210) 657-0220
Fax
(210) 651-0483
NPI assigned
May 3, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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 P9977 TX Primary

Addresses

Primary practice location

5000 Schertz Pkwy
Suite 202
Schertz, TX 78154-1399

Mailing address

8606 Village Dr
Suite a
San Antonio, TX 78217-5506
Phone (210) 657-0220

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
I20141022000594 TX Practitioner - Pediatric Medicine 0941421630 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Healthcare Associates, PLLC Pediatrics CurrentSince Sep 1, 2014 Accepting new patients
Northeast Pediatric Associates PA Pediatrics PastSince Sep 1, 2014 Accepting new patients

Locations

14100 San Pedro Ave
Ste 200
San Antonio, TX 78232

300 E Sonterra Blvd
Ste 320
San Antonio, TX 78258
Phone (210) 619-2710

1139 E Sonterra Blvd
#205
San Antonio, TX 78258
Phone (210) 614-2229

8606 Village Dr
#A
San Antonio, TX 78217
Phone (210) 657-0220

8606 Village Dr
San Antonio, TX 78217
Phone (210) 488-6405

1355 Central Pkwy S
Ste 400
San Antonio, TX 78232
Phone (210) 349-9300

1139 E Sonterra Blvd
Ste 205
San Antonio, TX 78258
Phone (210) 614-2229

5000 Schertz Pkwy
Ste 202
Schertz, TX 78154
Phone (210) 651-1055

Interoperability endpoints

  • Direct secure messaging: drtrimble@npa.pcc-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1144512633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8606 VILLAGE DR",
            "address_2": "SUITE A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175506",
            "telephone_number": "210-657-0220",
            "fax_number": "210-651-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 SCHERTZ PKWY",
            "address_2": "SUITE 202",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541399",
            "telephone_number": "210-657-0220",
            "fax_number": "210-651-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIMBLE",
        "first_name": "ROBERT",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-03",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P9977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schertz, TX

Sources for this page

Verify at the official NPI Registry.