Individual provider Active NPI

Bryan A Sagray, DPM

  • Foot & Ankle Surgery Podiatrist
  • San Antonio, TX
National Provider Identifier
1285861054
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2009 Issued in TX
Practice address
109 Gallery Cir Ste 119
San Antonio, TX 78258-3328
Phone
(210) 490-3668
Fax
(210) 267-5292
NPI assigned
Jun 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0116021718 VA
Foot & Ankle Surgery Podiatrist 213ES0103X 2009 TX Primary

Addresses

Primary practice location

109 Gallery Cir Ste 119
San Antonio, TX 78258-3328

Mailing address

PO Box 825159
Philadelphia, PA 19182-5159

Other practice location 1

7424 Broadway
San Antonio, TX 78209-3254
Phone (210) 829-8770

Other identifiers 2

IdentifierTypeStateIssuer
296149201MedicaidTX
296149202OtherTXMEDICAID (CSHCN)

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120529000566 TX Practitioner - Podiatry 5496918534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eddie Davis DPM PLLCGroup PAC ID 5991868291, 4 clinicians
D J Silvester DPM PAGroup PAC ID 0840377099, 4 clinicians

Practice addresses (Care Compare)

109 Gallery Cir
Suite 119
San Antonio, TX 78258-3328
Phone (210) 490-3668

13525 Centerbrook
Suite 104
Universal City, TX 78148-2734
Phone (210) 375-3318

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2009TXMDFoot & Ankle Surgery Podiatrist
0116021718VAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eddie Davis, DPM, PLLC Foot & Ankle Surgery CurrentSince Jan 1, 2025 Accepting new patients
D J Silvester DPM PA Foot & Ankle Surgery CurrentSince Feb 2, 2026 Accepting new patients
Eddie Davis, DPM, PLLC Foot & Ankle Surgery CurrentSince Jan 1, 2025 Accepting new patients

Locations

800 W San Antonio St
New Braunfels, TX 78130
Phone (830) 625-1473

409 N Bryant St
Pleasanton, TX 78064
Phone (830) 569-3338

7424 Broadway
San Antonio, TX 78209
Phone (210) 829-8770

109 Gallery Cir
Ste 119
San Antonio, TX 78258
Phone (210) 490-3668

13525 Centerbrook
Ste 104
Universal Cty, TX 78148
Phone (210) 375-3318

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10915/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1285861054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 825159",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191825159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 GALLERY CIR STE 119",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583328",
            "telephone_number": "210-490-3668",
            "fax_number": "210-267-5292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7424 Broadway",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782093254",
            "country_code": "US",
            "telephone_number": "210-829-8770",
            "fax_number": "210-826-4864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAGRAY",
        "first_name": "BRYAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-18",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0116021718",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "296149201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID (CSHCN)",
            "identifier": "296149202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.