Active NPI
Rocky Russell Reston, M.D., PH.D.
- Anesthesiology Physician
- Bulverde, TX
National Provider Identifier
1396735643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD072856L
- Practice address
- 737 Elm Valley Dr
Bulverde, TX 78163-1979 - Phone
- (571) 319-3729
- NPI assigned
- Oct 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Informatics Physician | 2083C0008X | MD072856L | PA | |
| Anesthesiology Physician | 207L00000X | MD072856L | PA | Primary |
Addresses
Primary practice location
737 Elm Valley Dr
Bulverde, TX 78163-1979
Mailing address
737 Elm Valley Dr
Bulverde, TX 78163-1979
Phone (571) 319-3729
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, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD072856L | PA | MD | Clinical Informatics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667088000000",
"number": "1396735643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 ELM VALLEY DR",
"city": "BULVERDE",
"state": "TX",
"postal_code": "781631979",
"telephone_number": "571-319-3729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 ELM VALLEY DR",
"city": "BULVERDE",
"state": "TX",
"postal_code": "781631979",
"telephone_number": "571-319-3729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESTON",
"first_name": "ROCKY",
"middle_name": "RUSSELL",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-27",
"last_updated": "2022-10-30",
"certification_date": "2022-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "2083C0008X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Clinical Informatics",
"state": "PA",
"license": "MD072856L",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD072856L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bulverde, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.