Individual provider Active NPI

Arnold Bradley Vardiman, MD

  • Neurological Surgery Physician
  • San Antonio, TX
National Provider Identifier
1346241817
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
H9010 Issued in TX
Practice address
4410 Medical Dr
Suite 610
San Antonio, TX 78229-6306
Phone
(210) 614-2453
Fax
(210) 614-4457
NPI assigned
Aug 9, 2005
Reactivated
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X H9010 TX Primary

Addresses

Primary practice location

4410 Medical Dr
Suite 610
San Antonio, TX 78229-6306

Mailing address

4410 Medical Dr
Suite 610
San Antonio, TX 78229-6306
Phone (210) 614-2453

Other identifiers 1

IdentifierTypeStateIssuer
110589203MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101026000434 TX Practitioner - Neurosurgery 7214120930 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Texas Southwestern Medical School at Dallas, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Physician Practices PLLCGroup PAC ID 8022171974, 176 clinicians

Practice addresses (Care Compare)

1139 E Sonterra Blvd
San Antonio, TX 78258-4347
Phone (210) 638-2000

1139 E Sonterra Blvd
Suite 301
San Antonio, TX 78258-4348
Phone (210) 477-1956

6800 I 10
Suite 100
San Antonio, TX 78201-2039
Phone (210) 575-8289

6800 W Ih
10 Suite 130
San Antonio, TX 78201-2039
Phone (210) 932-1487

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-7268

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
18.87 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
62.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion519
Laminectomy or laminotomy (partial removal of spine bones)269
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H9010TXMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Physician Practices, PLLC Neurological Surgery CurrentSince Dec 1, 2023 Accepting new patients
Neurosurgical Associates of San Antonio, P.a. Neurological Surgery CurrentSince Jul 1, 1998 Accepting new patients
Neurosurgical Associates of San Antonio, P.a. Neurological Surgery CurrentSince Jul 1, 1998 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

111 Dallas St
Fl 4
San Antonio, TX 78205
Phone (210) 297-7195

1139 E Sonterra Blvd
Ste 301
San Antonio, TX 78258
Phone (210) 477-1956

4410 Medical Dr
Ste 610
San Antonio, TX 78229
Phone (210) 477-5733

1139 E Sonterra Blvd
Ste 310
San Antonio, TX 78258

Interoperability endpoints

  • Direct secure messaging: arnold.vardiman@hca7.eclinicaldirectplus.com
  • Direct secure messaging: vardiman@saneuro.ssdirect.aprima.com
  • FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1346241817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 MEDICAL DR",
            "address_2": "SUITE 610",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296306",
            "telephone_number": "210-614-2453",
            "fax_number": "210-614-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 MEDICAL DR",
            "address_2": "SUITE 610",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296306",
            "telephone_number": "210-614-2453",
            "fax_number": "210-614-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARDIMAN",
        "first_name": "ARNOLD",
        "middle_name": "BRADLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2009-11-12",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "H9010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110589203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.