Organization Active NPI

MGB Plastic Surgery Associates of San Antonio

  • Plastic and Reconstructive Surgery Physician
  • San Antonio, TX
National Provider Identifier
1306241625
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
MGB PLASTIC SURGERY ASSOCIATES OF SAN ANTONIO
Practice address
7950 Floyd Curl Dr
Ste 904
San Antonio, TX 78229-3919
Phone
(210) 616-0798
NPI assigned
Oct 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Authorized official

Name
Matthew G Bindewald, MDNPI 1538356456
Title
Owner
Phone
(805) 698-1559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

7950 Floyd Curl Dr
Ste 904
San Antonio, TX 78229-3919

Mailing address

7950 Floyd Curl Dr
Ste 904
San Antonio, TX 78229-3919

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141208000575 TX Part B Supplier - Clinic/Group Practice 0941522684 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

7950 Floyd Curl Dr
Ste 1009
San Antonio, TX 78229
Phone (210) 615-6600

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1306241625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 FLOYD CURL DR",
            "address_2": "STE 904",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 FLOYD CURL DR",
            "address_2": "STE 904",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293919",
            "telephone_number": "210-616-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGB PLASTIC SURGERY ASSOCIATES OF SAN ANTONIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "BINDEWALD",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-698-1559",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 29, 2014; 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.