NPIMap

Organization Active NPI

New Braunfels Bone & Joint Clinic PA

  • Orthopaedic Surgery Physician
  • New Braunfels, TX
National Provider Identifier
1497979546
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
NEW BRAUNFELS BONE & JOINT CLINIC PA
Practice address
54 Gruene Park Dr
Suite C
New Braunfels, TX 78130-2460
Phone
(830) 625-3481
Fax
(830) 609-1997
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Authorized official

Name
Dr. David W Starch, MDNPI 1184680209
Title
President
Phone
(830) 625-3481

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
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

54 Gruene Park Dr
Suite C
New Braunfels, TX 78130-2460

Mailing address

54 Gruene Park Dr
New Braunfels, TX 78130-2460
Phone (830) 625-3481

Other identifiers 1

IdentifierTypeStateIssuer
104867004MedicaidTX

Other names 1

  • New Braunfels Orthopaedic Surgery and Sports Medicine PA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040812000852 TX Part B Supplier - Clinic/Group Practice 3779555321 Receives reassigned benefits from 14 practitioners
Practice locations: New Braunfels, TX
O20170602000338 TX DME Supplier - Physician - Orthopedic/Orthopedic Surgery 3779555321 Practice locations: New Braunfels, TX

National Provider Directory

National Provider Directory

Locations

54 Gruene Park Dr
Los Angeles, CA 90088

54 Gruene Park Dr
New Braunfels, TX 78130
Phone (830) 341-1386

54 Gruene Park Dr
Ste C
New Braunfels, TX 78130
Phone (830) 625-3481

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3406/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1497979546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 GRUENE PARK DR",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302460",
            "telephone_number": "830-625-3481",
            "fax_number": "830-609-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 GRUENE PARK DR",
            "address_2": "SUITE C",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302460",
            "telephone_number": "830-625-3481",
            "fax_number": "830-609-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BRAUNFELS BONE & JOINT CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "STARCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-625-3481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104867004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Braunfels Orthopaedic Surgery and Sports Medicine PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.