Active NPI
Vincent N. Coleman, M.D.
- Pediatrics Physician
- Boerne, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- K8888
- Practice address
- 430 W Bandera Rd
Ste 9
Boerne, TX 78006-2500 - Phone
- (830) 249-1717
- Fax
- (830) 816-2103
- NPI assigned
- Jun 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | K8888 | TX | Primary |
Addresses
Primary practice location
430 W Bandera Rd
Ste 9
Boerne, TX 78006-2500
Mailing address
3066 E Commerce St
San Antonio, TX 78220-1013
Phone (210) 233-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141661204 | Medicaid | TX |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K8888 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barrio Comprehensive Family Health Care Center, Inc. | Current | Accepting new patients | |
| Barrio Comprehensive Family Health Care Center, Inc. | Current | Accepting new patients | |
| Barrio Comprehensive Family Health Care Center, Inc. | Past | Accepting new patients |
Locations
430 W Bandera Rd
Ste 9
Boerne, TX 78006
Phone (830) 249-7211
12850 Bandera Rd
Ste 106
Helotes, TX 78023
1102 Barclay St
San Antonio, TX 78207
Phone (210) 434-0513
3066 E Commerce St
San Antonio, TX 78220
Phone (210) 233-7062
14625 Huebner Rd
San Antonio, TX 78230
Interoperability endpoints
- vincent.coleman@commsa.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
dba CommuniCare Health Centers
- Federally Qualified Health Center (FQHC)
- San Antonio, TX
- NPI 1902883739
-
- Federally Qualified Health Center (FQHC)
- San Marcos, TX
- NPI 1295601052
-
dba CommuniCare Health Centers
- Federally Qualified Health Center (FQHC)
- Helotes, TX
- NPI 1063067502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1598761066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3066 E COMMERCE ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782201013",
"telephone_number": "210-233-7000",
"fax_number": "210-434-1704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 W BANDERA RD",
"address_2": "STE 9",
"city": "BOERNE",
"state": "TX",
"postal_code": "780062500",
"telephone_number": "830-249-1717",
"fax_number": "830-816-2103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "VINCENT",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "K8888",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141661204",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.