Active NPI
Johanna Marie Brueckner, D.O.
- Psychiatry Physician
- San Antonio, TX
National Provider Identifier
1164530507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- K2189
- Practice address
- 351 Thorman PL
San Antonio, TX 78209-6340 - Phone
- (210) 367-8065
- NPI assigned
- Aug 27, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | K2189 | TX | Primary |
Addresses
Primary practice location
351 Thorman PL
San Antonio, TX 78209-6340
Mailing address
351 Thorman PL
San Antonio, TX 78209-6340
Phone (210) 367-8065
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K2189 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1164530507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 THORMAN PL",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782096340",
"telephone_number": "210-367-8065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 THORMAN PL",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782096340",
"telephone_number": "210-367-8065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUECKNER",
"first_name": "JOHANNA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-27",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "K2189",
"primary": true
}
],
"identifiers": [],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.