Active NPI
Michelle Joy Brucal, DO
- Internal Medicine Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- S1777
- Practice address
- 4458 Medical Dr Ste 505
San Antonio, TX 78229-3748 - Phone
- (210) 690-7400
- NPI assigned
- Jun 3, 2013
- Last updated
- Feb 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | S1777 | TX | |
| Hospitalist Physician | 208M00000X | OS018484 | PA | |
| Internal Medicine Physician | 207R00000X | S1777 | TX | Primary |
Addresses
Primary practice location
4458 Medical Dr Ste 505
San Antonio, TX 78229-3748
Mailing address
10800 Knights Rd
Philadelphia, PA 19114-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1434 E Sonterra Blvd
Suite 210
San Antonio, TX 78258-4973
Phone (210) 690-7400
Hospital & facility affiliations
- Methodist Hospital
- Methodist Hospital Stone Oak
- Peterson Regional Medical Center
- Hill Country Memorial Hospital
- Uvalde Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS018484 | PA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Acute Care Physicians, PC | Current | Accepting new patients | |
| Emergency Medicine Services of TX, PLLC | Emergency Medicine | Current | Accepting new patients |
| Texas Ips LLC | Current | Accepting new patients | |
| Jefferson Acute Care Physicians, PC | Current | Accepting new patients |
Locations
2966 Street Rd
Bensalem, PA 19020
Phone (215) 638-0666
2451 Grant Ave
Philadelphia, PA 19114
Phone (215) 464-8050
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
134 Menger Spgs
Boerne, TX 78006
Phone (830) 331-3000
34910 Interstate 10 W
Ste 601
Boerne, TX 78006
Phone (830) 248-1207
225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400
12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000
11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000
1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000
1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200
1434 E Sonterra Blvd
Ste 210
San Antonio, TX 78258
Phone (210) 481-3119
3154 SE Military Dr
Ste 103
San Antonio, TX 78223
Phone (210) 337-0911
4458 Medical Dr
Ste 505
San Antonio, TX 78229
4499 Medical Dr
San Antonio, TX 78229
Phone (210) 575-4325
4499 Medical Dr
#150
San Antonio, TX 78229
Phone (210) 614-8181
4499 Medical Dr
Ste 150
San Antonio, TX 78229
Phone (210) 614-8181
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pulmonary Disease Physician
- San Antonio, TX
- NPI 1629368535
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1245938729
-
dba Jefferson Urgent Care
- Urgent Care Clinic/Center
- Philadelphia, PA
- NPI 1730571324
-
- Urgent Care Clinic/Center
- Flourtown, PA
- NPI 1245892314
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Methodist Hospital Stone Oak
- General Acute Care Hospital
- San Antonio, TX
- NPI 1659525236
-
dba Methodist Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
dba Methodist Hospital Hill Country
- General Acute Care Hospital
- Fredericksburg, TX
- NPI 1376256354
-
dba Metropolitan Methodist Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
-
dba Methodist Specialty and Transplant Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
-
dba Peterson Regional Medical Center
- Rural Acute Care Hospital
- Kerrville, TX
- NPI 1790782704
-
dba Uvalde Memorial Hospital
- Critical Access Hospital
- Uvalde, TX
- NPI 1740288505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675382400000",
"number": "1720425580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10800 KNIGHTS RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191144200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4458 MEDICAL DR STE 505",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293748",
"telephone_number": "210-690-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCAL",
"first_name": "MICHELLE",
"middle_name": "JOY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-03",
"last_updated": "2023-02-03",
"certification_date": "2023-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "S1777",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "OS018484",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "S1777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.