Individual provider Active NPI

Deborah Lynn Baruch-Bienen, M.D.

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1558476408
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L2129 Issued in TX
Practice address
7400 Merton Minter St
Code 111 Medical Service, Audie Murphy Hosptial
San Antonio, TX 78229-4404
Phone
(210) 617-5120
Fax
(210) 949-3292
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L2129 TX Primary

Addresses

Primary practice location

7400 Merton Minter St
Code 111 Medical Service, Audie Murphy Hosptial
San Antonio, TX 78229-4404

Mailing address

7703 Floyd Curl Dr
Mail Code 7870 Hosptialist Medicine
San Antonio, TX 78229-3901
Phone (210) 617-5120

Other identifiers 1

IdentifierTypeStateIssuer
157483201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20161208001169 TX Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 8527242874

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1558476408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7703 FLOYD CURL DR",
            "address_2": "MAIL CODE 7870 HOSPTIALIST MEDICINE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293901",
            "telephone_number": "210-617-5120",
            "fax_number": "210-949-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 MERTON MINTER ST",
            "address_2": "CODE 111 MEDICAL SERVICE, AUDIE MURPHY HOSPTIAL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294404",
            "telephone_number": "210-617-5120",
            "fax_number": "210-949-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARUCH-BIENEN",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L2129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157483201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.