Individual provider Active NPI

Rudyard Lance Hilliard, MD

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1407830979
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
BH9505186 Issued in TX
Practice address
1223 Stetson GRN
San Antonio, TX 78258-7287
Phone
(361) 739-1515
NPI assigned
Nov 30, 2005
Last updated
Dec 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160831002278 TX Practitioner - Family Practice 9537162623 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M2646TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Oct 12, 2016 Accepting new patients
Comanche County Medical Center Company CurrentSince Jan 6, 2018 Accepting new patients
Coryell County Memorial Hospital Authority CurrentSince Mar 12, 2019 Accepting new patients
Coryell County Memorial Hospital Authority Emergency Medicine CurrentSince Mar 12, 2019 Accepting new patients
Comanche County Medical Center Company CurrentSince Jan 6, 2018 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Oct 12, 2016 Accepting new patients
Emergency Hospital Systems LLC CurrentSince Apr 19, 2017 Accepting new patients
Coryell County Memorial Hospital Authority Current Accepting new patients
Coastal ER IX, LLC PastSince Oct 6, 2019 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.

View all 16

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

Sources for this page

Verify at the official NPI Registry.