Bianca Carmen Braeutigam, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1179414 Issued in TX

Practice address

5620 Lone Star Pkwy Ste 2
San Antonio, TX 78253-2202

Phone

(210) 614-1231

NPI assigned

Nov 4, 2024

Last updated

Nov 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FHGDAA

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.

• Renal Associates, P.a.

  • Nephrology Physician
  • San Antonio, TX
  • NPI 1851368112
  Medicare reassignment NPD
• Renal Associates, P.a.

  • Ambulatory Surgical Clinic/Center
  • San Antonio, TX
  • NPI 1881125870
  NPD

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1164245551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16620 SAN PEDRO AVE STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322679",
            "telephone_number": "210-403-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 LONE STAR PKWY STE 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782532202",
            "telephone_number": "210-614-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAEUTIGAM",
        "first_name": "BIANCA",
        "middle_name": "CARMEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1179414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yerith Guadalupe Bradshaw, CNIM
• Amanda Bradstreet, DPT
• Jennifer Hope Bradstreet, MD
• Charles Elmer Brady III, MD
• Tracy Brady
• John F. Bragan, M.D.
• Nicole Renee Bragg, MD
• Eric Justin Brahin, MD
• Reshma Raj Brahmbhatt, M.D.
• Alan R Braid, MD

• Gerontology Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.