Organization Active NPI

Footprints Podiatric Medicine & Surgery

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
National Provider Identifier
1679640122
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1676 Issued in TX
Legal business name
FOOTPRINTS PODIATRIC MEDICINE & SURGERY
Practice address
5282 Medical Dr Ste 107
San Antonio, TX 78229-6023
Phone
(210) 949-1500
Fax
(210) 949-1490
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Dr. James Michael Bluhm, DPMNPI 1699774463
Title
Owner
Phone
(210) 949-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1676 TX Primary
Prosthetic/Orthotic Supplier 335E00000X 1676 TX

Addresses

Primary practice location

5282 Medical Dr Ste 107
San Antonio, TX 78229-6023

Mailing address

5282 Medical Dr Ste 107
San Antonio, TX 78229-6023
Phone (210) 949-1500

Other identifiers 5

IdentifierTypeStateIssuer
9360728OtherTXPHCS PROVIDER ID #
1796609 01MedicaidTX
1796609 02MedicaidTX
0098LJOtherTXBCBS OF TEXAS PROVIDER ID
1712002 01MedicaidTX

National Provider Directory

National Provider Directory

Locations

5282 Medical Dr
Ste 107
San Antonio, TX 78229
Phone (210) 949-1500

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1679640122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DR STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296023",
            "telephone_number": "210-949-1500",
            "fax_number": "210-949-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DR STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296023",
            "telephone_number": "210-949-1500",
            "fax_number": "210-949-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTPRINTS PODIATRIC MEDICINE & SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "BLUHM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-949-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1676",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "1676",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS PROVIDER ID #",
            "identifier": "9360728",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1796609 01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1796609 02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS PROVIDER ID",
            "identifier": "0098LJ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1712002 01",
            "state": "TX"
        }
    ],
    "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 May 21, 2008; 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.