Active NPI
Bexar Diagnostic Medicine Associates PA
- Family Medicine Physician
- San Antonio, TX
National Provider Identifier
1336268556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BEXAR DIAGNOSTIC MEDICINE ASSOCIATES PA
- Practice address
- 5430 Fredericksburg Rd
Suite 400
San Antonio, TX 78229-3539 - Phone
- (210) 692-3362
- Fax
- (210) 616-3558
- NPI assigned
- Mar 28, 2007
- Last updated
- Mar 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Elizabeth Sanchez
- Title
- Administrator
- Phone
- (210) 692-3362
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Neurology Physician | 2084N0400X |
Addresses
Primary practice location
5430 Fredericksburg Rd
Suite 400
San Antonio, TX 78229-3539
Mailing address
5430 Fredericksburg Rd
Suite 400
San Antonio, TX 78229-3539
Phone (210) 692-3362
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0035EE | Other | TX | BCBS |
National Provider Directory
National Provider DirectoryLocations
5282 Medical Dr
Ste 500
San Antonio, TX 78229
Phone (210) 614-7594
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1124119540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206662400000",
"number": "1336268556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5430 FREDERICKSBURG RD",
"address_2": "SUITE 400",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293539",
"telephone_number": "210-692-3362",
"fax_number": "210-616-3558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5430 FREDERICKSBURG RD",
"address_2": "SUITE 400",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293539",
"telephone_number": "210-692-3362",
"fax_number": "210-616-3558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEXAR DIAGNOSTIC MEDICINE ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2008-03-28",
"status": "A",
"authorized_official_last_name": "SANCHEZ",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "210-692-3362",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0035EE",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Bexar County Hospital District - Eastside (University Health System)
- Bexar County Hospital District Dba University Health System
- Bexar County Juvenile Probation Department
- Bexar County Management Co LLC
- Bexar Dental Center (The Smile Center)
- Bexar Durable Medical Equipment
- Bexar Emergency Group PA
- Bexar Emergency Physicians, PLLC
- Bexar Eye PLLC (Trinidad Vision Center)
- Bexar Healthcare Consortium
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.