Individual provider Active NPI

Brian Thomas Spears, MD

  • Emergency Medicine Physician
  • San Antonio, TX
National Provider Identifier
1326366303
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
P6092 Issued in TX
Practice address
15900 La Cantera Pkwy
Suite 20265
San Antonio, TX 78256-2422
Phone
(678) 480-7652
NPI assigned
May 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X P6092 TX Primary

Addresses

Primary practice location

15900 La Cantera Pkwy
Suite 20265
San Antonio, TX 78256-2422

Mailing address

15900 La Cantera Pkwy
Suite 20265
San Antonio, TX 78256-2422
Phone (678) 480-7652

Other names 1

  • Brian Thomas Spears Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131023000573 TX Practitioner - Emergency Medicine 9739353459 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Third Coast Emergency Physicians Southwest PA Emergency Medicine CurrentSince Jun 1, 2021 Accepting new patients

Locations

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

6491 Woodlake Pkwy
San Antonio, TX 78244
Phone (210) 622-8220

4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415

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.

NPI Registry JSON

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1326366303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15900 LA CANTERA PKWY",
            "address_2": "SUITE 20265",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562422",
            "telephone_number": "678-480-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 LA CANTERA PKWY",
            "address_2": "SUITE 20265",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562422",
            "telephone_number": "678-480-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEARS",
        "first_name": "BRIAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-14",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P6092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIAN",
            "last_name": "SPEARS",
            "middle_name": "THOMAS",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.