Individual provider Active NPI

Christopher Bracken, MD

  • Critical Care Medicine (Anesthesiology) Physician
  • San Antonio, TX
National Provider Identifier
1437266400
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X
License
G9331 Issued in TX
Practice address
7400 Barlite Blvd
San Antonio, TX 78224-1308
Phone
(210) 921-3585
NPI assigned
Aug 24, 2006
Last updated
Mar 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X G9331 TX Primary

Addresses

Primary practice location

7400 Barlite Blvd
San Antonio, TX 78224-1308

Mailing address

7400 Barlite Blvd
Southwest General Hospital
San Antonio, TX 78224
Phone (210) 921-3585

Other identifiers 1

IdentifierTypeStateIssuer
114999902MedicaidTX

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
I20080604000515 TX Practitioner - Anesthesiology 5698845519 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lone Star Anesthesia Partners PLLCGroup PAC ID 4880072636, 58 clinicians

Practice addresses (Care Compare)

423 Treeline Park
Suite 202
San Antonio, TX 78209-2078
Phone (910) 949-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G9331TXMDCritical Care Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Anesthesia Partners PLLC CurrentSince Nov 1, 2023 Accepting new patients
Sound Physicians Anesthesiology of Texas PLLC CurrentSince Oct 22, 2022 Accepting new patients
Emergenchealth PLLC CurrentSince May 1, 2018 Accepting new patients

Locations

2555 Jimmy Johnson Blvd
#O
Port Arthur, TX 77640
Phone (409) 724-7389

14603 Huebner Rd
Bldg 2
San Antonio, TX 78230
Phone (210) 259-7624

423 Treeline Park
Ste 202
San Antonio, TX 78209
Phone (910) 949-6000

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1437266400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 BARLITE BLVD",
            "address_2": "SOUTHWEST GENERAL HOSPITAL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78224",
            "telephone_number": "210-921-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 BARLITE BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241308",
            "telephone_number": "210-921-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKEN",
        "first_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "TX",
            "license": "G9331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114999902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.