Organization Active NPI

Collin Rader PA PLLC

  • General Practice Physician
  • San Antonio, TX
National Provider Identifier
1497447072
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
COLLIN RADER PA PLLC
Practice address
17910 Bulverde Rd Ste 115
San Antonio, TX 78259-3762
Phone
(210) 906-8478
NPI assigned
May 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Dr. Collin Rader, DONPI 1831369222
Title
Owner
Phone
(210) 441-2661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

17910 Bulverde Rd Ste 115
San Antonio, TX 78259-3762

Mailing address

2327 N Shady St
Visalia, CA 93291-3932
Phone (210) 441-2661

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1497447072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 N SHADY ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932913932",
            "telephone_number": "210-441-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17910 BULVERDE RD STE 115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782593762",
            "telephone_number": "210-906-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIN RADER PA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "RADER",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-441-2661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 23, 2023; 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.