Organization Active NPI

Bryan J. Wohlfeld, M.D., P.a.

  • Neurological Surgery Physician
  • San Antonio, TX
National Provider Identifier
1760773519
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
N7764 Issued in TX
Legal business name
BRYAN J. WOHLFELD, M.D., P.A.
Practice address
4410 Medical Dr
Suite 600
San Antonio, TX 78229-6306
Phone
(210) 615-5200
Fax
(210) 615-5206
NPI assigned
Apr 27, 2011
Last updated
Sep 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Authorized official

Name
Bryan J. Wohlfeld, M.D.
Title
Director
Phone
(214) 284-9002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X N7764 TX Primary

Addresses

Primary practice location

4410 Medical Dr
Suite 600
San Antonio, TX 78229-6306

Mailing address

4410 Medical Dr
Suite 600
San Antonio, TX 78229-6306
Phone (210) 615-5200

Other identifiers 2

IdentifierTypeStateIssuer
TXB134440OtherTXMEDICARE PTAN
297762101MedicaidTX

National Provider Directory

National Provider Directory

Locations

4410 Medical Dr
Ste 600
San Antonio, TX 78229
Phone (210) 615-5200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1760773519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 MEDICAL DR",
            "address_2": "SUITE 600",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296306",
            "telephone_number": "210-615-5200",
            "fax_number": "210-615-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 MEDICAL DR",
            "address_2": "SUITE 600",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296306",
            "telephone_number": "210-615-5200",
            "fax_number": "210-615-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN J. WOHLFELD, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "WOHLFELD",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-284-9002",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "N7764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB134440",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "297762101",
            "state": "TX"
        }
    ],
    "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 Sep 6, 2012; 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.