Individual provider Active NPI

Brian K Macgillivray, MD

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1851374623
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M3304 Issued in TX
Practice address
19054 Stone Oak Pkwy Ste 102
San Antonio, TX 78258-3460
Phone
(210) 447-9275
Fax
(210) 447-9279
NPI assigned
Nov 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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 M3304 TX
Family Medicine Physician 207Q00000X M3304 TX Primary

Addresses

Primary practice location

19054 Stone Oak Pkwy Ste 102
San Antonio, TX 78258-3460

Mailing address

19054 Stone Oak Pkwy Ste 102
San Antonio, TX 78258-3460
Phone (210) 447-9275

Other identifiers 2

IdentifierTypeStateIssuer
8AH273OtherTXBCBS
179874604MedicaidTX

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
I20060417000571 TX Practitioner - Family PracticePractitioner - Emergency Medicine 0244255321 Practice locations: San Antonio, TX

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M3304TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
River City Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients
Texas Emergency Room Services, PA Emergency Medicine Past Accepting new patients
Step Emergency Physicians Emergency Medicine Past Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients
Texas Emergency Room Services PA Emergency Medicine Past Accepting new patients
Hondo Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Leading Edge Emergency Physicians, Inc Emergency Medicine PastSince Aug 11, 2019 Accepting new patients

Organizations & group practices 7

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": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1851374623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19054 STONE OAK PKWY STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583460",
            "telephone_number": "210-447-9275",
            "fax_number": "210-447-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19054 STONE OAK PKWY STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583460",
            "telephone_number": "210-447-9275",
            "fax_number": "210-447-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACGILLIVRAY",
        "first_name": "BRIAN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M3304",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M3304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AH273",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179874604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.