Bigfoot Pediatrics LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

BIGFOOT PEDIATRICS LLC

Practice address

2515 Castroville Rd Ste 4
San Antonio, TX 78237-3361

Phone

(860) 501-9739

NPI assigned

Jan 29, 2025

Organization subpart

No

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

Authorized official

Name

Justin Vine, PNPNPI 1831662873

Title

Owner

Phone

(210) 570-3323

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Justin Vine, NP

  • Pediatric Nurse Practitioner
  • San Antonio, TX
  • NPI 1831662873
  NPD Authorized official

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1659184166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FAZIO DR",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781083292",
            "telephone_number": "210-570-3323",
            "fax_number": "857-219-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 CASTROVILLE RD STE 4",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782373361",
            "telephone_number": "860-501-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIGFOOT PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "VINE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-570-3323",
        "authorized_official_credential": "PNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Jack Bies, DO
• Azucena Biesiada, REGISTERED NURSE
• Gabriel J Bietz, M.D.
• Joan Leslie Biever, PHD
• Paul K Biever, LCSW
• Martha Susan Bigford-Young, DDS
• Dennis P Biggan, CCP
• Denise Biggers, PHYSICAL THERAPIST
• Karen Diane Biggerstaff, MA,CCC-SLP,ATP
• Clyde McLain Biggs, FNP

• Urgent Care Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Urgent Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.