Organization Active NPI

Bear Pediatric PLLC

  • Urgent Care Clinic/Center
  • San Antonio, TX
National Provider Identifier
1457773111
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
BEAR PEDIATRIC PLLC
Practice address
7254 Blanco Rd Ste 104
San Antonio, TX 78216-4930
Phone
(210) 901-9499
Fax
(210) 247-9499
NPI assigned
Jan 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Authorized official

Name
Marlyn L Cabrera, MD
Title
Owner/Cmo
Phone
(210) 901-9499

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X K8044 TX
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

7254 Blanco Rd Ste 104
San Antonio, TX 78216-4930

Mailing address

7254 Blanco Rd Suite 104
San Antonio, TX 78216
Phone (210) 901-9499

Other practice location 1

2038 Milan
San Antonio, TX 78258-4306
Phone (210) 901-9499

Other practice location 2

18200 Blanco Spgs Apt 821
San Antonio, TX 78258-4565
Phone (210) 802-6805

Other identifiers 2

IdentifierTypeStateIssuer
346864OtherMEDICARE
336778101MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1457773111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7254 BLANCO RD SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78216",
            "telephone_number": "210-901-9499",
            "fax_number": "210-247-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7254 BLANCO RD STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164930",
            "telephone_number": "210-901-9499",
            "fax_number": "210-247-9499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2038 Milan",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584306",
            "country_code": "US",
            "telephone_number": "210-901-9499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18200 Blanco Spgs Apt 821",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584565",
            "country_code": "US",
            "telephone_number": "210-802-6805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEAR PEDIATRIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "MARLYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/CMO",
        "authorized_official_telephone_number": "210-901-9499",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K8044",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "346864",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "336778101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.