Organization Active NPI

Prestige Cosmetic Surgery PA

  • Specialist
  • San Antonio, TX
National Provider Identifier
1366782294
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K3597 Issued in TX
Legal business name
PRESTIGE COSMETIC SURGERY PA
Practice address
18707 Hardy Oak Blvd Ste 455
San Antonio, TX 78258-4841
Phone
(210) 255-1764
Fax
(210) 255-8891
NPI assigned
Mar 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Authorized official

Name
Dr. Bernard Kopchinski, MD, FACS
Title
President, Plastic Surgeon
Phone
(210) 255-1764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X K3597 TX Primary

Addresses

Primary practice location

18707 Hardy Oak Blvd Ste 455
San Antonio, TX 78258-4841

Mailing address

18707 Hardy Oak Blvd Ste 455
San Antonio, TX 78258-4841
Phone (210) 255-1764

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1366782294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18707 HARDY OAK BLVD STE 455",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584841",
            "telephone_number": "210-255-1764",
            "fax_number": "210-255-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18707 HARDY OAK BLVD STE 455",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584841",
            "telephone_number": "210-255-1764",
            "fax_number": "210-255-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE COSMETIC SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "KOPCHINSKI",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "PRESIDENT, PLASTIC SURGEON",
        "authorized_official_telephone_number": "210-255-1764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K3597",
            "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 Mar 1, 2013; 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.