Individual provider Active NPI

Brad W Gurwitz, MD

  • Surgery Physician
  • San Antonio, TX
National Provider Identifier
1689604852
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
J0831 Issued in TX
Practice address
8122 Datapoint Dr Ste 320
San Antonio, TX 78229-3264
Phone
(210) 614-5113
Fax
(210) 616-0024
NPI assigned
Jul 4, 2006
Last updated
Mar 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X J0831 TX Primary

Addresses

Primary practice location

8122 Datapoint Dr Ste 320
San Antonio, TX 78229-3264

Mailing address

8122 Datapoint Dr Ste 320
San Antonio, TX 78229-3264
Phone (210) 614-5113

Other identifiers 1

IdentifierTypeStateIssuer
103616201MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100712000310 TX Practitioner - General Surgery 2264480797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Medical Branch at Galveston, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Surgical AssociatesGroup PAC ID 1557396512, 9 clinicians

Practice addresses (Care Compare)

8122 Datapoint Dr
Suite 320
San Antonio, TX 78229-3264
Phone (210) 614-5113

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)11
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J0831TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Surgical Associates Specialist CurrentSince Apr 17, 1992 Accepting new patients

Locations

8042 Wurzbach Rd
Ste 310
San Antonio, TX 78229
Phone (210) 614-5113

8122 Datapoint Dr
Ste 320
San Antonio, TX 78229
Phone (210) 614-5113

Interoperability endpoints

  • Direct secure messaging: brad.gurwitz@gsa.eclinicaldirectplus.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1689604852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8122 DATAPOINT DR STE 320",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293264",
            "telephone_number": "210-614-5113",
            "fax_number": "210-616-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8122 DATAPOINT DR STE 320",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293264",
            "telephone_number": "210-614-5113",
            "fax_number": "210-616-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURWITZ",
        "first_name": "BRAD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "J0831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103616201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.