Active NPI
Balcones Dermatology Associates, P.a.
- Dermatology Physician
- Austin, TX
National Provider Identifier
1699044800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- L6307
- Legal business name
- BALCONES DERMATOLOGY ASSOCIATES, P.A.
- Practice address
- 7800 N. Mo Pac Expwy,
Ste 315
Austin, TX 78759 - Phone
- (512) 459-4869
- Fax
- (512) 453-2795
- NPI assigned
- Dec 16, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David A Bushore, M.D.
- Title
- President, Owner
- Phone
- (512) 459-4869
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | L6307 | TX | Primary |
Addresses
Primary practice location
7800 N. Mo Pac Expwy,
Ste 315
Austin, TX 78759
Mailing address
7800 N. Mo Pac Expwy,
Ste 315
Austin, TX 78759
Phone (512) 459-4869
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8240 N Mopac Expy
Ste 350
Austin, TX 78759
Phone (512) 459-4869
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Austin, TX
- NPI 1568461036
-
- MOHS-Micrographic Surgery Physician
- Austin, TX
- NPI 1023033883
-
- Dermatology Physician
- Austin, TX
- NPI 1174522791
-
- Dermatology Physician
- Austin, TX
- NPI 1508865668
-
- Dermatology Physician
- Niwot, CO
- NPI 1528067683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777248000000",
"number": "1699044800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7800 N. MO PAC EXPWY,",
"address_2": "STE 315",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78759",
"telephone_number": "512-459-4869",
"fax_number": "512-453-2795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 N. MO PAC EXPWY,",
"address_2": "STE 315",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78759",
"telephone_number": "512-459-4869",
"fax_number": "512-453-2795"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALCONES DERMATOLOGY ASSOCIATES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-16",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A",
"authorized_official_last_name": "BUSHORE",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT, OWNER",
"authorized_official_telephone_number": "512-459-4869",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "TX",
"license": "L6307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
- Saikrishna Balasubramanian, MD
- Abigail Balat, LPC
- Mark Stanley Balawender, L.M.T., M.M.P.D.
- Balcones Acupuncture, Inc.
- Balcones Counseling PLLC
- Balcones Dermatology Associates, PA
- Balcones Family Dental
- Balcones Family Dental GPS PLLC
- Balcones Imaging Consultants PA
- Balcones Obstetrics & Gynecology, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.