Organization Active NPI

Bexar Modifications, Inc.

  • Home Modifications Contractor
  • San Antonio, TX
National Provider Identifier
1669508321
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
License
IC1-4853 Issued in TX
Legal business name
BEXAR MODIFICATIONS, INC.
Practice address
12915 Agency
San Antonio, TX 78247-3478
Phone
(210) 340-5111
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Bryan C Jones
Title
Ceo
Phone
(210) 340-5111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171WH0202X IC1-4853 TX Primary

Addresses

Primary practice location

12915 Agency
San Antonio, TX 78247-3478

Mailing address

8200 Pat Booker Rd PMB 1454
Live Oak, TX 78233-2440
Phone (210) 340-5111

National Provider Directory

National Provider Directory

Locations

8200 Pat Booker Rd
Live Oak, TX 78233

12915 Agency
San Antonio, TX 78247
Phone (210) 340-5111

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669508321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 PAT BOOKER RD PMB 1454",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782332440",
            "telephone_number": "210-340-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12915 AGENCY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473478",
            "telephone_number": "210-340-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEXAR MODIFICATIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-340-5111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "TX",
            "license": "IC1-4853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.