Individual provider Active NPI

Jeremy A Tanner, MD, MPH

  • Behavioral Neurology & Neuropsychiatry Physician
  • San Antonio, TX
National Provider Identifier
1205175338
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
License
U0860 Issued in TX
Practice address
7703 Floyd Curl Dr # Mc8070
San Antonio, TX 78229-3901
Phone
(210) 450-9960
Fax
(210) 450-2139
NPI assigned
Feb 8, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X U0860 TX
Neurology Physician 2084N0400X A153399 CA
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X U0860 TX Primary

Addresses

Primary practice location

7703 Floyd Curl Dr # Mc8070
San Antonio, TX 78229-3901

Mailing address

7703 Floyd Curl Drive, MC 7883
Parc Building Room 417
San Antonio, TX 78229-3901
Phone (210) 450-8834

Other practice location 1

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000

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
I20221206002133 TX Practitioner - Neurology 4486905551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Texas Health Science Center at San AntonioGroup PAC ID 0042128548, 1,290 clinicians

Practice addresses (Care Compare)

8403 Floyd Curl Dr
San Antonio, TX 78229-3904
Phone (210) 450-9000

Hospital & facility affiliations

  • Ut Health San Antonio Multispecialty & Research Ho Hospital, San Antonio, TX, CCN 670335
  • University Health System Hospital, San Antonio, TX, CCN 450213

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U0860TXMDBehavioral Neurology & Neuropsychiatry Physician
A153399CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Health Science Center at San Antonio Neurology Current Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Nov 19, 2022 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Nov 19, 2022 Accepting new patients
University of Texas Health Science Center at San Antonio Past Accepting new patients

Locations

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

4940 Charles Katz
San Antonio, TX 78229
Phone (210) 450-9700

8403 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 567-8600

4940 Charles Katz
Fl 1
San Antonio, TX 78229
Phone (210) 450-9680

7703 Floyd Curl Dr
Rm 417
San Antonio, TX 78229

7979 Wurzbach Rd
San Antonio, TX 78229
Phone (210) 450-1000

8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

7703 Floyd Curl Dr
#8070
San Antonio, TX 78229
Phone (210) 450-9960

Interoperability endpoints

  • Direct secure messaging: jtanner36125@direct.utmsa.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1205175338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7703 FLOYD CURL DRIVE, MC 7883",
            "address_2": "PARC BUILDING ROOM 417",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293901",
            "telephone_number": "210-450-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7703 FLOYD CURL DR # MC8070",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293901",
            "telephone_number": "210-450-9960",
            "fax_number": "210-450-2139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4502 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294402",
            "country_code": "US",
            "telephone_number": "210-358-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANNER",
        "first_name": "JEREMY",
        "middle_name": "A",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-08",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "U0860",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A153399",
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "TX",
            "license": "U0860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.