NPIMap

Organization Active NPI

Baylor College of Medicine

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1285079764
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
BAYLOR COLLEGE OF MEDICINE
Practice address
333 N Santa Rosa
San Antonio, TX 78207-3108
Phone
(210) 704-3030
NPI assigned
May 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Mr. Richard C. Allison III
Title
Director
Phone
(713) 798-1746

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Ph.D. Medical GeneticsGroup: 193200000X MULTI-SPECIALTY GROUP 170100000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X TX Primary

Addresses

Primary practice location

333 N Santa Rosa
San Antonio, TX 78207-3108

Mailing address

333 N Santa Rosa
San Antonio, TX 78207-3108
Phone (210) 704-3030

Other names 1

  • BCM Physicians of San Antonio Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131025000939 TX Part B Supplier - Clinic/Group Practice 0648405738 Receives reassigned benefits from 471 practitioners
Practice locations: San Antonio, TX; San Marcos, TX; New Braunfels, TX; Beaumont, TX; Corpus Christi, TX; Edinburg, TX; El Paso, TX; Laredo, TX…

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4302 S Sugar Rd
Ste 208
Edinburg, TX 78539

1102 Bates Ave
Houston, TX 77030
Phone (832) 822-4556

15900 La Cantera Pkwy
#300
San Antonio, TX 78256

315 N San Saba
Ste 985
San Antonio, TX 78207
Phone (210) 704-0406

7430 Barlite Blvd
Ste 101
San Antonio, TX 78224
Phone (210) 568-1949

1434 E Sonterra Blvd
#100
San Antonio, TX 78258
Phone (210) 704-4708

5282 Medical Dr
Ste 310
San Antonio, TX 78229
Phone (210) 614-8687

315 N San Saba
Ste 930
San Antonio, TX 78207
Phone (210) 704-3200

5210 Thousand Oaks Dr
Ste 1351
San Antonio, TX 78233
Phone (210) 704-4005

1434 E Sonterra Blvd
Ste 100
San Antonio, TX 78258
Phone (210) 704-4708

333 N Santa Rosa
Ste F250CCF
San Antonio, TX 78207

1305 Wonder World Dr
Ste 309
San Marcos, TX 78666
Phone (512) 353-2900

Practitioners & affiliated clinicians

Practitioners 504

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

View all 504

NPI Registry JSON

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1285079764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SANTA ROSA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073108",
            "telephone_number": "210-704-3030",
            "fax_number": "210-704-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N SANTA ROSA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073108",
            "telephone_number": "210-704-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR COLLEGE OF MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-09",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-798-1746",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "170100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BCM Physicians of San Antonio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 24, 2024; 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.