Organization Active NPI

PVD Medical Associates, PLLC

  • Emergency Medicine Physician
  • San Antonio, TX
National Provider Identifier
1396118147
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
PVD MEDICAL ASSOCIATES, PLLC
Practice address
18007 Ih 10 W
San Antonio, TX 78257-9536
Phone
(210) 530-1040
Fax
(210) 530-1187
NPI assigned
Nov 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Dr. Peter Van Delden, MDNPI 1265636856
Title
President
Phone
(210) 445-4450

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
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

18007 Ih 10 W
San Antonio, TX 78257-9536

Mailing address

PO Box 690804
San Antonio, TX 78269-0804
Phone (210) 564-9790

Other practice location 1

23511 Hardy Oak Blvd
San Antonio, TX 78258-1928
Phone (210) 361-3266

National Provider Directory

National Provider Directory

Locations

18007 Ih 10 W
San Antonio, TX 78257
Phone (210) 530-1040

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": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1396118147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690804",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782690804",
            "telephone_number": "210-564-9790",
            "fax_number": "210-564-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18007 IH 10 W",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782579536",
            "telephone_number": "210-530-1040",
            "fax_number": "210-530-1187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23511 Hardy Oak Blvd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782581928",
            "country_code": "US",
            "telephone_number": "210-361-3266",
            "fax_number": "210-564-9156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PVD MEDICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "VAN DELDEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-445-4450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "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 May 29, 2024; 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.