Organization Active NPI

New Braunfels Surgical Associates, PA

  • Surgery Physician
  • New Braunfels, TX
National Provider Identifier
1265602767
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
H2511 Issued in TX
Legal business name
NEW BRAUNFELS SURGICAL ASSOCIATES, PA
Practice address
652 N Houston Ave
Suite 3
New Braunfels, TX 78130-4122
Phone
(830) 625-6258
Fax
(830) 629-6258
NPI assigned
Mar 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Dr. Mark F Kneuper, MDNPI 1497738272
Title
President
Phone
(830) 625-6258

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X H2511 TX Primary

Addresses

Primary practice location

652 N Houston Ave
Suite 3
New Braunfels, TX 78130-4122

Mailing address

652 N Houston Ave
Suite 3
New Braunfels, TX 78130-4122
Phone (830) 625-6258

Other identifiers 1

IdentifierTypeStateIssuer
0026AEOtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110401000379 TX Part B Supplier - Clinic/Group Practice 2769666551 Receives reassigned benefits from 1 practitioner
Practice locations: New Braunfels, TX

National Provider Directory

National Provider Directory

Locations

652 N Houston Ave
Ste 4
New Braunfels, TX 78130

652 N Houston Ave
Ste 3
New Braunfels, TX 78130
Phone (830) 500-3034

1929 State Highway 46 W
Ste 105
New Braunfels, TX 78132
Phone (210) 625-6258

515 N King St
Seguin, TX 78155
Phone (830) 372-4891

1331 E Court St
Ste 104
Seguin, TX 78155

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1265602767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 N HOUSTON AVE",
            "address_2": "SUITE 3",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304122",
            "telephone_number": "830-625-6258",
            "fax_number": "830-629-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 N HOUSTON AVE",
            "address_2": "SUITE 3",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304122",
            "telephone_number": "830-625-6258",
            "fax_number": "830-629-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BRAUNFELS SURGICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "KNEUPER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-625-6258",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "H2511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0026AE",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.