Individual provider Active NPI

Grady Dee Alsabrook, M.D.

  • Vascular Surgery Physician
  • San Antonio, TX
National Provider Identifier
1699898643
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
M6496 Issued in TX
Practice address
610 N Main Avenue
San Antonio, TX 78205-1204
Phone
(210) 225-6508
Fax
(210) 225-1486
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X M6496 TX
Vascular Surgery Physician 2086S0129X M6496 TX Primary

Addresses

Primary practice location

610 N Main Avenue
San Antonio, TX 78205-1204

Mailing address

610 North Main, Second Floor
San Antonio, TX 78205-1204
Phone (210) 237-4444

Other practice location 1

8811 Village Dr
Suite 150
San Antonio, TX 78217-5415
Phone (210) 656-5098

Other identifiers 1

IdentifierTypeStateIssuer
193951401MedicaidTX

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
I20070730000790 TX Practitioner - Vascular SurgeryPractitioner - General Surgery 0143321455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of Texas Medical School at San Antonio, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

8811 Village Dr
San Antonio, TX 78217-5415
Phone (210) 297-2000

Hospital & facility affiliations

  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
  • Resolute Health Hospital Hospital, New Braunfels, TX, CCN 670098
  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)37
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M6496TXMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Dec 1, 2023 Accepting new patients
BHS Physicians Network, Inc CurrentSince Dec 1, 2023 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients
Varicose Vein Clinic - Northwest, P.a. Vascular Surgery Past Accepting new patients

Locations

545 Creekside Xing
Ste 218
New Braunfels, TX 78130

8811 Village Dr
San Antonio, TX 78217
Phone (210) 297-2000

8811 Village Dr
Ste 150
San Antonio, TX 78217
Phone (210) 656-5098

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

8811 Village Dr
#150
San Antonio, TX 78217
Phone (210) 656-5098

Interoperability endpoints

  • Direct secure messaging: grady.alsabrook.1@1438.direct.athenahealth.com
  • Direct secure messaging: gradyalsabrook@pvapa.allscriptsdirect.net

Organizations & group practices 4

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.

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1699898643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 NORTH MAIN, SECOND FLOOR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782051204",
            "telephone_number": "210-237-4444",
            "fax_number": "210-828-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N MAIN AVENUE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782051204",
            "telephone_number": "210-225-6508",
            "fax_number": "210-225-1486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8811 Village Dr",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782175415",
            "country_code": "US",
            "telephone_number": "210-656-5098",
            "fax_number": "210-656-5219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALSABROOK",
        "first_name": "GRADY",
        "middle_name": "DEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M6496",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "M6496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193951401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.