Organization Active NPI

Radiology Associates of New Braunfels

  • Diagnostic Radiology Physician
  • New Braunfels, TX
National Provider Identifier
1720097140
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIOLOGY ASSOCIATES OF NEW BRAUNFELS
Practice address
600 N Union Ave
New Braunfels, TX 78130-4194
Phone
(830) 643-6162
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Dr. Fernando Bazan, MD
Title
Managing Partner
Phone
(830) 643-6162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

600 N Union Ave
New Braunfels, TX 78130-4194

Mailing address

777 Loop 337
New Braunfels, TX 78130-3632
Phone (830) 620-5747

Other identifiers 1

IdentifierTypeStateIssuer
174247001MedicaidTX

National Provider Directory

National Provider Directory

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": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1720097140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 LOOP 337",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303632",
            "telephone_number": "830-620-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N UNION AVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304194",
            "telephone_number": "830-643-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY ASSOCIATES OF NEW BRAUNFELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "BAZAN",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "830-643-6162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174247001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.