Individual provider Active NPI

Patrick McClure Muehlberger, MD

  • Emergency Medicine Physician
  • San Antonio, TX
National Provider Identifier
1780674119
Registry record updated Nov 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
P5847 Issued in TX
Practice address
3551 Roger Brooke Dr.
Dem
San Antonio, TX 78234
Phone
(210) 216-0808
NPI assigned
Oct 26, 2005
Last updated
Nov 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 44214 CO
Emergency Medicine Physician 207P00000X P5847 TX Primary

Addresses

Primary practice location

3551 Roger Brooke Dr.
Dem
San Antonio, TX 78234

Mailing address

3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504
Phone (210) 916-5399

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
I20110113000655 TX Practitioner - Emergency Medicine 7012003668 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44214COMDEmergency Medicine Physician
P5847TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PVD Urgent Care LLC CurrentSince Oct 12, 2018 Accepting new patients
PVD Urgent Care LLC CurrentSince Oct 12, 2018 Accepting new patients
Samaritan Emergency Corp Emergency Medicine Past Accepting new patients

Locations

18007 Ih 10 W
San Antonio, TX 78257
Phone (210) 530-1040

23511 Hardy Oak Blvd
San Antonio, TX 78258
Phone (210) 361-3266

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606348800000",
    "number": "1780674119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "JBSA FT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR.",
            "address_2": "DEM",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78234",
            "telephone_number": "210-216-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUEHLBERGER",
        "first_name": "PATRICK",
        "middle_name": "MCCLURE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2020-11-26",
        "certification_date": "2020-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "44214",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P5847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.