Retina Specialists of San Antonio, PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

RETINA SPECIALISTS OF SAN ANTONIO, PLLC

Practice address

303 E Quincy St
Suite 100
San Antonio, TX 78215-1918

Phone

(210) 271-7648

Fax

(210) 225-8184

NPI assigned

Feb 17, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Charles D Brodrick, MDNPI 1336131499

Title

Owner

Phone

(210) 271-7648

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles David Brodrick, M.D.

  • Ophthalmology Physician
  • San Antonio, TX
  • NPI 1336131499
  Medicare reassignment Care Compare group NPD Authorized official
• Felipe A Navas, M.D.

  • Ophthalmology Physician
  • San Antonio, TX
  • NPI 1508889403
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1457710592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E QUINCY ST",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151918",
            "telephone_number": "210-271-7648",
            "fax_number": "210-225-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E QUINCY ST",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151918",
            "telephone_number": "210-271-7648",
            "fax_number": "210-225-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA SPECIALISTS OF SAN ANTONIO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "BRODRICK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-271-7648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3583817-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Norma Reta
• James Daniel Rethaber
• Retina and Uveitis Consultants of Texas PA
• Retina and Vitreous of San Antonio
• Retina Associates of South Texas, P.a.
• Retinal Consultants of San Antonio
• Jesse J. Rettele, L/CPO
• Shaylon Dwayne Rettig, M.D.
• Veronica Rettig, MSNA
• Jennifer Suzanne Retzloff, M.D.

• Ophthalmology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.