Walter M. Bain MD PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

E4184 Issued in TX

Legal business name

WALTER M. BAIN MD PA

Practice address

1303 McCullough Ave
Suite 242
San Antonio, TX 78212-5609

Phone

(210) 226-8982

NPI assigned

Jun 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Walter M. Bain, MDNPI 1194890863

Title

President

Phone

(210) 226-8982

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Otolaryngology Associates of South Texas Doing business as

Locations

Practitioners 1

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

• Walter M Bain, MD

  • Otolaryngology Physician
  • San Antonio, TX
  • NPI 1194890863
  NPD Authorized official

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1295938165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 MCCULLOUGH AVE",
            "address_2": "SUITE 242",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125609",
            "telephone_number": "210-226-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 MCCULLOUGH AVE",
            "address_2": "SUITE 242",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125609",
            "telephone_number": "210-226-8982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER M. BAIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "BAIN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-226-8982",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "E4184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082977201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "E4184",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Otolaryngology Associates of South Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rorey Marie Walsh, M.D.
• Sally Walsh, LCSW
• Vincent Robert Walsh, ADVANCED PRACTICE NU
• Jenevieve Walston
• Walter D. Thames, PLLC
• Walter W. Root, M.D.P.a
• Walter Walthall IV MD PLLC
• Victoria Ochuwa Walter-Etoh, NP
• Carol J Walter, LPC
• Colleen A Walter, PHD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.