Active NPI
Peter Robert Bringewald, M.D.
- Ophthalmology Physician
- Fredericksburg, TX
National Provider Identifier
1376782607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- D9088
- Practice address
- 617 Oak Haven Rd
Fredericksburg, TX 78624-6741 - Phone
- (830) 990-0301
- NPI assigned
- Feb 10, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | D9088 | TX | Primary |
Addresses
Primary practice location
617 Oak Haven Rd
Fredericksburg, TX 78624-6741
Mailing address
617 Oak Haven Rd
Fredericksburg, TX 78624-6741
Phone (830) 990-0301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D9088 | TX | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurological Clinic of Texas PA | Multi-Specialty | Past | Accepting new patients |
| Neurology Consultants of Dallas, P.a. | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 2
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": "1234224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234224000000",
"number": "1376782607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 OAK HAVEN RD",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786246741",
"telephone_number": "830-990-0301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 OAK HAVEN RD",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786246741",
"telephone_number": "830-990-0301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINGEWALD",
"first_name": "PETER",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-10",
"last_updated": "2009-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "TX",
"license": "D9088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.