Active NPI
Bryan Richard Attridge, MD
- Military Health Care Provider
- San Antonio, TX
National Provider Identifier
1407597693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- Practice address
- 5788 Eckhert Rd
San Antonio, TX 78240-3900 - Phone
- (210) 567-1601
- Fax
- (210) 567-3483
- NPI assigned
- Apr 5, 2022
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 0101281424 | VA | |
| Military Health Care Provider | 171000000X | Primary |
Addresses
Primary practice location
5788 Eckhert Rd
San Antonio, TX 78240-3900
Mailing address
1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | attridgeb@uthscsa.edu | Direct |
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 |
|---|---|---|---|
| 0101281424 | VA | MD | General Practice Physician |
Interoperability endpoints
- battridge34111@direct.utmsa.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1407597693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 WILFORD HALL LOOP",
"city": "JBSA LACKLAND",
"state": "TX",
"postal_code": "782365638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5788 ECKHERT RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782403900",
"telephone_number": "210-567-1601",
"fax_number": "210-567-3483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATTRIDGE",
"first_name": "BRYAN",
"middle_name": "RICHARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-05",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0101281424",
"primary": false
},
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "attridgeb@uthscsa.edu",
"affiliation": "N",
"endpointDescription": "Program email with encryption",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "7703 Floyd Curl Dr # Mc7792",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782293901",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 20, 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.