Individual provider Active NPI

Mark Drogin, MD

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1770522294
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F9380 Issued in TX
Practice address
23445 US Highway 281 N
Building 2
San Antonio, TX 78258-7317
Phone
(210) 491-4300
Fax
(210) 495-1029
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F9380 TX Primary
Psychiatry Physician 2084P0800X F9380 TX

Addresses

Primary practice location

23445 US Highway 281 N
Building 2
San Antonio, TX 78258-7317

Mailing address

PO Box 957
San Antonio, TX 78294-0957
Phone (210) 491-4300

Other identifiers 2

IdentifierTypeStateIssuer
00076MYOtherTXBCBS GROUP#
8V4340OtherTXBCBS INDIVIDUAL #

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
I20060112001005 TX Practitioner - Family Practice 6800819012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F9380TXMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1770522294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 957",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782940957",
            "telephone_number": "210-491-4300",
            "fax_number": "210-495-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23445 US HIGHWAY 281 N",
            "address_2": "BUILDING 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587317",
            "telephone_number": "210-491-4300",
            "fax_number": "210-495-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROGIN",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F9380",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "F9380",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP#",
            "identifier": "00076MY",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL #",
            "identifier": "8V4340",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.