Vivian W Bucay MD PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

H3955 Issued in TX

Legal business name

VIVIAN W BUCAY MD PLLC

Practice address

326 W Craig PL
San Antonio, TX 78212-3307

Phone

(210) 692-3000

Fax

(210) 692-3056

NPI assigned

Sep 22, 2008

Organization subpart

No

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

Authorized official

Name

Kimberly Dawn Freehauf, CMPE

Title

Cfo

Phone

(830) 931-5582

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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

• Rachna Bhandari, M.D., PH.D.

  • Dermatology Physician
  • San Antonio, TX
  • NPI 1316235328
  Medicare reassignment Care Compare group NPD
• Vivian W. Bucay, M.D.

  • Specialist
  • San Antonio, TX
  • NPI 1821079930
  Medicare reassignment Care Compare group NPD
• Talia Jayne Noorily

  • Dermatology Physician
  • San Antonio, TX
  • NPI 1750843900
  Medicare reassignment Care Compare group NPD
• Brittany Blumentals

  • Physician Assistant
  • San Antonio, TX
  • NPI 1699598169
  Medicare reassignment NPD
• Thushan N Desilva, M.D.

  • Dermatology Physician
  • Boerne, TX
  • NPI 1003824335
  Medicare reassignment NPD
• Karen S. Moreland, PA

  • Physician Assistant
  • Fort Worth, TX
  • NPI 1013204007
  Medicare reassignment
• Rebecca Lewis Kelso, M.D.

  • Dermatology Physician
  • San Antonio, TX
  • NPI 1194876193
  NPD (past)

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1285884759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 W CRAIG PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123307",
            "telephone_number": "210-692-3000",
            "fax_number": "210-692-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 W CRAIG PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123307",
            "telephone_number": "210-692-3000",
            "fax_number": "210-692-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVIAN W BUCAY MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-22",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "FREEHAUF",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "830-931-5582",
        "authorized_official_credential": "CMPE"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "H3955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tony Hernan Vitela, LCSW
• Victoria Vitela
• Viva Pediatrics PA
• Litzy Vivas Manzanares
• Marta Elena Vives, NP
• Vivid Eye Care
• Vivir With Salud, PLLC
• Jacqueline Vizcaino, AU.D.
• Rosa Isela Vizcarra, MD
• Abby Renee Vizina, LPC

• Dermatology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.