Karrn Elizabeth Bales, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02001676A Issued in IN

Practice address

1616 Truemper Ave
Lackland Afb, TX 78236

Phone

(210) 671-9556

NPI assigned

Sep 1, 2005

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

Other names 1

• Dr. Karrn Elizabeth Gustafson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Santa Rosa Family Health Center

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1679572804
  NPD (past)

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1255325593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9523 LOYAL VLY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514942",
            "telephone_number": "210-671-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 TRUEMPER AVE",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "78236",
            "telephone_number": "210-671-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALES",
        "first_name": "KARRN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-01",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02001676A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARRN",
            "last_name": "GUSTAFSON",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Collins Abere
• Karla Elizabeth Adams, MD
• Raul Alfonso Aguilar, M.D.
• Michael Angeletti, MS RD CSCS
• Carmen Edward Arnoni Jr., IDMT
• Sharon R. Bannister, DDS,MS
• Kathryn Grace Barenberg, M.D.
• Laura E Barnes, O.D.
• Richard Charles Batzer Jr., D.D.S.
• Robin E Becker

• Family Medicine Physician in Lackland Afb, TX
• Providers in Lackland Afb, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.

Verify at the official NPI Registry.