Active NPI
Rudyard Lance Hilliard, MD
- Family Medicine Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- BH9505186
- Practice address
- 1223 Stetson GRN
San Antonio, TX 78258-7287 - Phone
- (361) 739-1515
- NPI assigned
- Nov 30, 2005
- Last updated
- Dec 20, 2011
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | M2646 | TX | |
| Family Medicine Physician | 207Q00000X | BH9505186 | TX | Primary |
Addresses
Primary practice location
1223 Stetson GRN
San Antonio, TX 78258-7287
Mailing address
1223 Stetson GRN
San Antonio, TX 78258-7287
Phone (361) 739-1515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M2646 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Medical Group PLLC | Emergency Medicine | Current | Accepting new patients |
| Comanche County Medical Center Company | Current | Accepting new patients | |
| Coryell County Memorial Hospital Authority | Current | Accepting new patients | |
| Coryell County Memorial Hospital Authority | Emergency Medicine | Current | Accepting new patients |
| Comanche County Medical Center Company | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Hospital Systems LLC | Current | Accepting new patients | |
| Coryell County Memorial Hospital Authority | Current | Accepting new patients | |
| Coastal ER IX, LLC | Past | Accepting new patients | |
| Ghep Corpus Christi PLLC | Emergency Medicine | Past | Accepting new patients |
| Complete Emergency Care I LLC | Past | Accepting new patients | |
| Cec City Base ER Physicians PLLC | Past | Accepting new patients | |
| Brazos Valley ER, LLC | Past | Accepting new patients | |
| BHS Physicians Network, Inc | Past | Accepting new patients | |
| 22250 Bulverde Cec Fossil Creek LLC | Past | Accepting new patients | |
| Complete Emergency Care City Base LLC | Past | Accepting new patients |
Locations
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
10201 Highway 16
Comanche, TX 76442
Phone (254) 879-4910
1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281
1507 W Main St
Gatesville, TX 76528
Phone (254) 865-8251
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
8901 FM 1960 Bypass Rd W
Ste 105
Humble, TX 77338
Phone (281) 592-5400
3349 S Highway 181
Kenedy, TX 78119
Phone (830) 583-3401
1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316
400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891
305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Comanche, TX
- NPI 1346544616
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1083630610
-
dba Coryell Memorial Healthcare System
- Anesthesiology Physician
- Gatesville, TX
- NPI 1992832521
-
dba Cleveland Emergency Hospital
- General Acute Care Hospital
- Cleveland, TX
- NPI 1992172019
-
dba Rising Star Pharmacy
- Community/Retail Pharmacy
- Rising Star, TX
- NPI 1679174882
-
dba Hillside Medical Lodge
- Skilled Nursing Facility
- Gatesville, TX
- NPI 1427345347
-
dba Coryell Health
- Emergency Medicine Physician
- Gatesville, TX
- NPI 1528195062
-
dba Fossil Creek Complete Care
- Emergency Care Clinic/Center
- San Antonio, TX
- NPI 1740603422
-
dba Orthopedic Performance Institute
- Durable Medical Equipment & Medical Supplies
- Boerne, TX
- NPI 1730079286
-
- Emergency Medical Services (Emergency Medicine) Physician
- San Antonio, TX
- NPI 1578934881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324339200000",
"number": "1407830979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1223 STETSON GRN",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782587287",
"telephone_number": "361-739-1515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 STETSON GRN",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782587287",
"telephone_number": "361-739-1515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLIARD",
"first_name": "RUDYARD",
"middle_name": "LANCE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2011-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "M2646",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "BH9505186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Doris F Hilliard, LPC 2/28/2008
- George D Hilliard, M.D.
- James Leonard Hilliard, MD
- Lyndsay T Hilliard
- Renda C Hilliard
- Tricia Selena Hilliard, M.D.
- Jennifer Leigh Hillier, LPC
- Erin Hillman
- Jennifer Jean Hillman, PHARM,D,
- Hills of Westover Operating, LLC (Las Colinas of Westover Rehabiitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.