Organization Active NPI

Bienestar, Inc.

  • General Practice Physician
  • San Antonio, TX
National Provider Identifier
1356675854
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G1745 Issued in TX
Legal business name
BIENESTAR, INC.
Practice address
300 E Grayson St
Suite 100
San Antonio, TX 78215-1219
Phone
(210) 224-6611
Fax
(877) 968-8288
NPI assigned
Sep 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2010

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

Authorized official

Name
Dr. Wiley A Patterson, MDNPI 1396963989
Title
Owner/Provider
Phone
(210) 224-6611

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
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X G1745 TX Primary

Addresses

Primary practice location

300 E Grayson St
Suite 100
San Antonio, TX 78215-1219

Mailing address

PO Box 15613
San Antonio, TX 78212-8813
Phone (210) 224-6611

Other identifiers 1

IdentifierTypeStateIssuer
G1745OtherTXLICENSE

National Provider Directory

National Provider Directory

Locations

300 E Grayson St
Ste 100
San Antonio, TX 78215
Phone (210) 224-6611

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": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271376000000",
    "number": "1356675854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15613",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782128813",
            "telephone_number": "210-224-6611",
            "fax_number": "877-968-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E GRAYSON ST",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151219",
            "telephone_number": "210-224-6611",
            "fax_number": "877-968-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIENESTAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2010-04-16",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "WILEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "210-224-6611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "G1745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G1745",
            "state": "TX"
        }
    ],
    "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 Apr 16, 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.