Individual provider Active NPI

Kenneth Norman Vogtsberger, M.D.

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1386713519
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
E-4739 Issued in TX
Practice address
6711 S New Braunfels Ave Ste 500
Medical Services Department, BLDG 667E
San Antonio, TX 78223-3004
Phone
(210) 532-9610
Fax
(210) 531-3795
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X E-4739 TX Primary

Addresses

Primary practice location

6711 S New Braunfels Ave Ste 500
Medical Services Department, BLDG 667E
San Antonio, TX 78223-3004

Mailing address

6711 S New Braunfels Ave Ste 500
Medical Services Department, BLDG 667E
San Antonio, TX 78223-3004
Phone (210) 532-9610

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-4739TXMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1386713519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 S NEW BRAUNFELS AVE STE 500",
            "address_2": "MEDICAL SERVICES DEPARTMENT, BLDG 667E",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233004",
            "telephone_number": "210-532-9610",
            "fax_number": "210-531-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 S NEW BRAUNFELS AVE STE 500",
            "address_2": "MEDICAL SERVICES DEPARTMENT, BLDG 667E",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233004",
            "telephone_number": "210-532-9610",
            "fax_number": "210-531-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGTSBERGER",
        "first_name": "KENNETH",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "E-4739",
            "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 Jun 24, 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.

Verify at the official NPI Registry.