Individual provider Active NPI

Brandon L Bolfing, MD

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1760638407
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N9025 Issued in TX
Practice address
11212 State Highway 151
Building 2, Suite 201
San Antonio, TX 78251-4498
Phone
(210) 481-6800
Fax
(210) 481-1444
NPI assigned
Aug 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N9025 TX Primary

Addresses

Primary practice location

11212 State Highway 151
Building 2, Suite 201
San Antonio, TX 78251-4498

Mailing address

11212 State Highway 151
Building 2, Suite 201
San Antonio, TX 78251-4498
Phone (210) 481-6800

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
I20120418000318 TX Practitioner - Family Practice 2365603305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Texas Health Science Center at San AntonioGroup PAC ID 0042128548, 1,290 clinicians

Practice addresses (Care Compare)

14530 NW Military Hwy
Shavano Park, TX 78231-1622
Phone (210) 450-6621

7703 Floyd Curl Dr
San Antonio, TX 78229-3901
Phone (210) 450-9000

8431 Fredericksburg Rd
San Antonio, TX 78229-3392

Hospital & facility affiliations

  • Ut Health San Antonio Multispecialty & Research Ho Hospital, San Antonio, TX, CCN 670335
  • University Health System Hospital, San Antonio, TX, CCN 450213

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Health Science Center at San Antonio Family Medicine Current Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Apr 12, 2013 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Apr 12, 2013 Accepting new patients

Locations

11212 State Highway 151
Bldg 2
San Antonio, TX 78251
Phone (210) 681-5747

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

14530 NW Military Hwy
Shavano Park, TX 78231
Phone (210) 450-6220

Interoperability endpoints

  • Direct secure messaging: bbolfing15569@direct.utmsa.com

Organizations & group practices 3

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 2

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": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1760638407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11212 STATE HIGHWAY 151",
            "address_2": "BUILDING 2, SUITE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514498",
            "telephone_number": "210-481-6800",
            "fax_number": "210-481-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 STATE HIGHWAY 151",
            "address_2": "BUILDING 2, SUITE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514498",
            "telephone_number": "210-481-6800",
            "fax_number": "210-481-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLFING",
        "first_name": "BRANDON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-13",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N9025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.