NPIMap

Individual provider Active NPI

Jeffrey Theodore Harris, M.D.

  • Neurology Physician
  • San Antonio, TX
National Provider Identifier
1639165749
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
24495 Issued in AL
Practice address
7940 Floyd Curl Dr
Suite 620
San Antonio, TX 78229-3905
Phone
(210) 593-0237
Fax
(210) 593-0376
NPI assigned
Sep 23, 2005
Last updated
Aug 31, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 24495 AL Primary

Addresses

Primary practice location

7940 Floyd Curl Dr
Suite 620
San Antonio, TX 78229-3905

Mailing address

7940 Floyd Curl Dr
Suite 620
San Antonio, TX 78229-3905
Phone (210) 593-0237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110104001231 TX Practitioner - Neurology 5799791943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Vanderbilt University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuropro of TexasGroup PAC ID 9638422215, 2 clinicians

Practice addresses (Care Compare)

111 Dallas St
San Antonio, TX 78205-1201
Phone (210) 297-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24495ALMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropro of Texas Neurology CurrentSince Aug 31, 2018 Accepting new patients
Healthcare Authority of the City of Huntsville Neurology PastSince Sep 1, 2019 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients
HH Physicians Network Neurology Past Accepting new patients

Locations

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

11703 Huebner Rd
Ste 106402
San Antonio, TX 78230

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1639165749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7940 FLOYD CURL DR",
            "address_2": "SUITE 620",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293905",
            "telephone_number": "210-593-0237",
            "fax_number": "210-593-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 FLOYD CURL DR",
            "address_2": "SUITE 620",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293905",
            "telephone_number": "210-593-0237",
            "fax_number": "210-593-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JEFFREY",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "24495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.