Active NPI
Randall Bissessar, M.D
- Forensic Pathology Physician
- San Antonio, TX
National Provider Identifier
1740697929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Pathology Physician
- License
- R9337
- Practice address
- Bexar County Medical Examiner'S Office
7337 Louis Pasteur Drive
San Antonio, TX 78229 - Phone
- (210) 335-4053
- NPI assigned
- Jul 19, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Pathology Physician | 207ZF0201X | R9337 | TX | Primary |
Addresses
Primary practice location
Bexar County Medical Examiner'S Office
7337 Louis Pasteur Drive
San Antonio, TX 78229
Mailing address
210 Post Office St Apt A309
Galveston, TX 77550-5643
Phone (402) 507-6419
Other practice location 1
601 N 30th St
CU Department of Pathology
Omaha, NE 68131-2137
Phone (402) 717-0271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9337 | TX | MD | Forensic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1740697929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 POST OFFICE ST APT A309",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775505643",
"telephone_number": "402-507-6419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BEXAR COUNTY MEDICAL EXAMINER'S OFFICE",
"address_2": "7337 LOUIS PASTEUR DRIVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78229",
"telephone_number": "210-335-4053"
}
],
"practiceLocations": [
{
"address_1": "601 N 30th St",
"address_2": "CU Department of Pathology",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681312137",
"country_code": "US",
"telephone_number": "402-717-0271",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BISSESSAR",
"first_name": "RANDALL",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-19",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "TX",
"license": "R9337",
"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 Jun 13, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.