Individual provider Active NPI

Sergio Barksdale, M.D.

  • Emergency Medicine Physician
  • Del Rio, TX
National Provider Identifier
1457761819
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R1699 Issued in TX
Practice address
801 N Bedell Ave
Del Rio, TX 78840-4112
Phone
(830) 775-8566
NPI assigned
May 6, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 R1699 TX Primary
Family Medicine Physician 207Q00000X 76421 GA

Addresses

Primary practice location

801 N Bedell Ave
Del Rio, TX 78840-4112

Mailing address

801 N Bedell Ave
Del Rio, TX 78840-4112

Other practice location 1

1025 Garner Field Rd
Uvalde, TX 78801-4809
Phone (830) 278-6251

Other practice location 2

3100 Avenue E
Hondo, TX 78861-3534
Phone (830) 426-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170223000632 GA Practitioner - Family Practice 7517241359
I20170708000136 TX Practitioner - Emergency Medicine 7517241359 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.62 of 100Reported as group
Quality
92.03
Improvement activities
40
Cost
85.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R1699TXMDEmergency Medicine Physician
76421GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Emergency Partners LLC Emergency Medicine CurrentSince Jul 8, 2017 Accepting new patients
Victoria Emergency Associates LLC Emergency Medicine CurrentSince Aug 19, 2017 Accepting new patients
South Texas Hospitalist Associates LLC Past Accepting new patients
Southland Optim Jenkins Emergency Medical Services, LLC Emergency Medicine Past Accepting new patients

Locations

801 N Bedell Ave
Del Rio, TX 78840
Phone (830) 703-1702

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

3100 Avenue E
Hondo, TX 78861
Phone (830) 426-7700

1025 Garner Field Rd
Uvalde, TX 78801
Phone (830) 278-6254

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1457761819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N BEDELL AVE",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788404112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N BEDELL AVE",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788404112",
            "telephone_number": "830-775-8566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Garner Field Rd",
            "address_purpose": "LOCATION",
            "city": "Uvalde",
            "state": "TX",
            "postal_code": "788014809",
            "country_code": "US",
            "telephone_number": "830-278-6251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Avenue E",
            "address_purpose": "LOCATION",
            "city": "Hondo",
            "state": "TX",
            "postal_code": "788613534",
            "country_code": "US",
            "telephone_number": "830-426-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARKSDALE",
        "first_name": "SERGIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R1699",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "76421",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Rio, TX

Sources for this page

Verify at the official NPI Registry.