Rolland Clinton Reynolds Jr., MD, CWSP

Primary specialty

Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X

License

H2721 Issued in TX

Practice address

1305 Wonder World Dr
San Marcos, TX 78666-7533

Phone

(512) 353-6430

Fax

(512) 353-6431

NPI assigned

Apr 24, 2007

Last updated

Jun 16, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Preventive MedicineAlso: Family Practice, Undersea and Hyperbaric Medicine

Education

University of Texas Medical School at San Antonio, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healogics Specialty Physicians of Texas PLLCGroup PAC ID 6709002777, 33 clinicians

Hill Country Wound Care Vascular and HyperbaricsGroup PAC ID 7618384629, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Lakeway, TX, CCN 673058

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rreynolds1840869@direct.texashealth.org

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.

• Healogics Specialty Physicians of Texas, PLLC

  • Surgery Physician
  • Allen, TX
  • NPI 1285051094

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Hill Country Wound Care Vascular & Hyperbarics

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Bulverde, TX
  • NPI 1629674486

  Aerospace Medicine

  Medicare reassignment Care Compare group NPD
• Precise Vascular Sonography LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • San Antonio, TX
  • NPI 1326661190
  NPD (past)
• Texas Wound Care Specialists LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Plano, TX
  • NPI 1487362851
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bir JV LLP

  dba Baylor Scott & White Institute for Rehabilitation - Lakeway

  • Rehabilitation Hospital
  • Lakeway, TX
  • NPI 1851889463

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1447479878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 THOUSAND OAKS",
            "address_2": "SUITE 294",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473312",
            "telephone_number": "210-494-1100",
            "fax_number": "210-494-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 WONDER WORLD DR",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667533",
            "telephone_number": "512-353-6430",
            "fax_number": "512-353-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ROLLAND",
        "middle_name": "CLINTON",
        "name_suffix": "Jr.",
        "credential": "MD, CWSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H2721",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "TX",
            "license": "H2721",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "H2721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Lizette Reyes
• Pamela Manosca Reyes, PT, DPT
• Valeria Reyes
• Yvette Reyes
• Anthony David Reynaga, PHARM.D
• Crystal Rhodes, LCDC
• Sacha Richardson
• Stephen Guess Richardson, MD
• Amanda Renae Ries, ATC, LAT
• Nicole Riojas, D.O.

• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.