Individual provider Active NPI

Byron Cadwallader Freemyer, M.D.

  • Emergency Medicine Physician
  • San Antonio, TX
National Provider Identifier
1841280740
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
H1961 Issued in TX
Practice address
111 Dallas St
Emergency Room
San Antonio, TX 78205-1201
Phone
(210) 614-0180
Fax
(210) 615-7170
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X H1961 TX Primary

Addresses

Primary practice location

111 Dallas St
Emergency Room
San Antonio, TX 78205-1201

Mailing address

PO Box 12740
Westminster, CA 92685-2740
Phone (562) 809-3527

Other identifiers 3

IdentifierTypeStateIssuer
8N2593OtherTXBCBS
097844704MedicaidTX
097844701MedicaidTX

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
I20051116000676 TX Practitioner - Emergency Medicine 0941229181 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Jan 1, 2018 Accepting new patients
Third Coast Emergency Physicians Southwest PA Emergency Medicine CurrentSince Feb 22, 2024 Accepting new patients
River City Nurse Management LLC PastSince Apr 30, 2003 Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415

8811 Village Dr
San Antonio, TX 78217
Phone (210) 297-2000

520 Madison Oak Dr
San Antonio, TX 78258
Phone (210) 297-0412

3333 Research Plz
San Antonio, TX 78235
Phone (210) 297-3000

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

1215 E Court St
Seguin, TX 78155
Phone (830) 379-2411

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.

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1841280740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12740",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926852740",
            "telephone_number": "562-809-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DALLAS ST",
            "address_2": "EMERGENCY ROOM",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782051201",
            "telephone_number": "210-614-0180",
            "fax_number": "210-615-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMYER",
        "first_name": "BYRON",
        "middle_name": "CADWALLADER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "H1961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8N2593",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097844704",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097844701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.