Fernando Bazan, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

F3742 Issued in TX

Practice address

600 N Union Ave
New Braunfels, TX 78130-4194

Phone

(830) 643-6162

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Merit-based Incentive Payment System (MIPS)

Final score

67.5 of 100Reported as group

Quality

58.12

Improvement activities

40

Cost

68.45

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• GMG Health Systems Associates PA

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1023030160
  Medicare reassignment NPD
• River City Imaging Associates PA

  • Diagnostic Radiology Physician
  • San Antonio, TX
  • NPI 1679871081
  Medicare reassignment NPD
• River City Imaging Centers LLC

  • Radiology Clinic/Center
  • New Braunfels, TX
  • NPI 1720661176
  Medicare reassignment

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1679582332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 LOOP 337",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303632",
            "telephone_number": "830-643-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N UNION AVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304194",
            "telephone_number": "830-643-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZAN",
        "first_name": "FERNANDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "F3742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110436604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Baumgartner, LM
• Kameron Lee Bavender, DC
• Baxter Healthcare Corporation
• Bayou City Hospice LLC
• Bayou Homecare LP
• Juan Daniel Bazan, D.C.
• Aimee Lynne Bearden, AGACNP-BC
• Heather Beardsley
• Pierre Beaufond
• Hollee Denae Becerra, MA, LPC

• Diagnostic Radiology Physician in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.