Gerardo Alfonso De Sequera, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K2199 Issued in TX

Practice address

524 Singing Oaks Ste 200
Bulverde, TX 78070-6509

Phone

(830) 620-9429

Fax

(830) 620-9495

NPI assigned

Aug 23, 2005

Last updated

Dec 23, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Rayford B. Mitchell M.D., P.a.

  • Family Medicine Physician
  • Kenedy, TX
  • NPI 1952595738
  NPD (past)

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1275526410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 SINGING OAKS STE 200",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "780706509",
            "telephone_number": "830-620-9429",
            "fax_number": "830-620-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 SINGING OAKS STE 200",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "780706509",
            "telephone_number": "830-620-9429",
            "fax_number": "830-620-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SEQUERA",
        "first_name": "GERARDO",
        "middle_name": "ALFONSO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K2199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICARE",
            "identifier": "364195YLPS",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICAID",
            "identifier": "1117707-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Shannon Culp, LPC
• Kimberly Jaye Daffron-Baker, LCSW,LPC-S,LMFT,LCDC
• Darling Dentistry, PLLC
• Dasc LLC (Family Matters Counseling)
• Aria Dayani, M.D.
• Glenda Irene Deahl, APRN, FNP-C
• Sheriffa Dennis, LPC-A
• Lorelei Isabelle Diener, LCSW
• Rebecca Dionio
• Johanna Domenech

• Family Medicine Physician in Bulverde, TX
• Providers in Bulverde, 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 Dec 23, 2019; 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.