Donald D Bacon MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

E2452 Issued in TX

Legal business name

DONALD D BACON MD PA

Practice address

525 Oak Centre Dr Ste 140
San Antonio, TX 78258-3916

Phone

(210) 546-1410

NPI assigned

Apr 29, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Donald Bacon, MD

Title

Owner

Phone

(210) 546-1410

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1689018079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 OAK CENTRE DR STE 140",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583916",
            "telephone_number": "210-546-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 OAK CENTRE DR STE 140",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583916",
            "telephone_number": "210-546-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD D BACON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "BACON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-546-1410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "E2452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Donahue, LPC
• Donald a Hollsten MD PLLC
• Donald a. Hollsten, M.D.
• Donald C. Frame, MD, PA
• Donald C. McCann, PH.D., P.C.
• Donald D. Dilworth, M.D., P.a.
• Donald F Adams MD PA
• Gina Thomas Donald
• Brandon Donaldson, PHARM.D.
• Tamara Donat, LMSW

• Specialist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.