Individual provider Active NPI

Bruce E Conway, MD

  • Surgery Physician
  • San Antonio, TX
National Provider Identifier
1629005996
Registry record updated Aug 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
J6385 Issued in TX
Practice address
18707 Hardy Oak Blvd Ste 210
San Antonio, TX 78258-4803
Phone
(210) 593-2500
Fax
(210) 593-2501
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X J6385 TX Primary

Addresses

Primary practice location

18707 Hardy Oak Blvd Ste 210
San Antonio, TX 78258-4803

Mailing address

4383 Medical Drive
San Antonio, TX 78229
Phone (210) 593-2584

Other identifiers 1

IdentifierTypeStateIssuer
046522101MedicaidTX

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
I20100712000387 TX Practitioner - General Surgery 5092763524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Medical School at San Antonio, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Oncology and Hematology, PLLCGroup PAC ID 4486618022, 39 clinicians

Practice addresses (Care Compare)

155 E Sonterra Blvd
Suite 200
San Antonio, TX 78258-3989
Phone (210) 593-5700

18707 Hardy Oak Blvd
Suite 210
San Antonio, TX 78258-4803
Phone (210) 593-2500

4383 Medical Dr
San Antonio, TX 78229-3307
Phone (210) 593-5700

Hospital & facility affiliations

  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055

Merit-based Incentive Payment System (MIPS)

Final score
82.7 of 100Reported as group
Quality
62.04
Promoting interoperability
90
Improvement activities
40
Cost
84.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Oncology and Hematology, PLLC CurrentSince Aug 1, 2017 Accepting new patients
South Texas Oncology and Hematology, PLLC CurrentSince Aug 1, 2017 Accepting new patients

Locations

18707 Hardy Oak Blvd
Ste 210
San Antonio, TX 78258
Phone (210) 593-2500

5715 Rogers Rd
San Antonio, TX 78251

4383 Medical Dr
San Antonio, TX 78229
Phone (210) 593-2584

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1629005996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4383 MEDICAL DRIVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-593-2584",
            "fax_number": "210-593-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18707 HARDY OAK BLVD STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584803",
            "telephone_number": "210-593-2500",
            "fax_number": "210-593-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "BRUCE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "J6385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046522101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.