South Texas Radiology Imaging Centers

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SOUTH TEXAS RADIOLOGY IMAGING CENTERS

Practice address

4410 Medical Dr Ste 200
San Antonio, TX 78229-3744

Phone

(210) 575-6692

Fax

(210) 616-7799

NPI assigned

Feb 9, 2006

Last updated

Sep 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary Woodard

Title

Chief Executive Officer

Phone

(210) 615-5632

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations (25 of 27)

Practitioners 108

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wilson B Altmeyer, MD

  • Neuroradiology Physician
  • San Antonio, TX
  • NPI 1760672919
  Medicare reassignment Care Compare group NPD
• Garrett K. Andersen, M.D.

  • Diagnostic Radiology Physician
  • San Antonio, TX
  • NPI 1972579993
  Medicare reassignment Care Compare group NPD
• Jose L Arbona, M.D.

  • Diagnostic Radiology Physician
  • San Antonio, TX
  • NPI 1396721155
  Medicare reassignment Care Compare group NPD
• Andrew E. Auber, M.D.

  • Diagnostic Radiology Physician
  • San Antonio, TX
  • NPI 1457338188
  Medicare reassignment Care Compare group NPD
• Gregg W Bean, M.D.

  • Diagnostic Radiology Physician
  • San Antonio, TX
  • NPI 1801813266
  Medicare reassignment Care Compare group NPD
• Peter V Berardo, M.D.

  • Diagnostic Radiology Physician
  • San Antonio, TX
  • NPI 1447236211
  Medicare reassignment Care Compare group NPD
• Paul David Bertolino, MD

  • Diagnostic Radiology Physician
  • San Antonio, TX
  • NPI 1548554553
  Medicare reassignment Care Compare group NPD
• Justin Edward Boatsman, M.D.

  • Diagnostic Radiology Physician
  • San Antonio, TX
  • NPI 1871797472
  Medicare reassignment Care Compare group NPD
• Whitney Boyce, MD

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1003250911
  Medicare reassignment Care Compare group NPD
• Gregory J. Boys, M.D.

  • Diagnostic Radiology Physician
  • San Antonio, TX
  • NPI 1831165778
  Medicare reassignment Care Compare group NPD
• F. Stuart Browne Jr., M.D.

  • Diagnostic Radiology Physician
  • San Antonio, TX
  • NPI 1972589752
  Medicare reassignment Care Compare group NPD
• Stephanie K. Burns, M.D.

  • Diagnostic Radiology Physician
  • San Antonio, TX
  • NPI 1568644581
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1396718334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29441",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782290441",
            "telephone_number": "210-616-7796",
            "fax_number": "210-616-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 MEDICAL DR STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293744",
            "telephone_number": "210-575-6692",
            "fax_number": "210-616-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS RADIOLOGY IMAGING CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "210-615-5632"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141621601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Texas Periodontel Associates
• South Texas PM & R Group, Inc.
• South Texas Prosthetics Inc
• South Texas Psychotherapy
• South Texas Radiology Group PA
• South Texas Skin Cancer Center LLC
• South Texas Smiles, PLLC
• South Texas Specialty Care PLLC
• South Texas Spinal Clinic, P.a.
• South Texas Spinal Clinic, P.a.

• Diagnostic Radiology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.