Individual provider Active NPI

Bradley B Kayser, MD

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1285635110
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G6950 Issued in TX
Practice address
4410 Medical Dr
Ste 100
San Antonio, TX 78229-6306
Phone
(210) 614-4000
Fax
(210) 614-9114
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G6950 TX Primary

Addresses

Primary practice location

4410 Medical Dr
Ste 100
San Antonio, TX 78229-6306

Mailing address

4410 Medical Drive
Ste 100
San Antonio, TX 78229-4536
Phone (210) 614-4000

Other identifiers 2

IdentifierTypeStateIssuer
110231813OtherRAILROAD MEDICARE
123445202MedicaidTX

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
I20100506001059 TX Practitioner - Internal Medicine 8527125418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tulane University School of Medicine, 1981
Medicare assignment
May accept Medicare assignment
Group practices
Pasteur Medical Associates PAGroup PAC ID 2769487701, 7 clinicians

Practice addresses (Care Compare)

4410 Medical Dr
Suite 100
San Antonio, TX 78229-3737
Phone (210) 614-4000

Hospital & facility affiliations

  • Capitol Home Health Home health agency, San Antonio, TX, CCN 747928
  • Methodist Healthcare at Home Home health agency, San Antonio, TX, CCN 679424

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G6950TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pasteur Medical Associates PA Internal Medicine CurrentSince Aug 26, 1984 Accepting new patients

Locations

4410 Medical Dr
Ste 100
San Antonio, TX 78229
Phone (210) 614-4000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGHHBA

Organizations & group practices 1

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1285635110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 MEDICAL DRIVE",
            "address_2": "STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294536",
            "telephone_number": "210-614-4000",
            "fax_number": "210-614-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 MEDICAL DR",
            "address_2": "STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296306",
            "telephone_number": "210-614-4000",
            "fax_number": "210-614-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYSER",
        "first_name": "BRADLEY",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G6950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110231813",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123445202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.