Organization Active NPI

Robert B Gledhill,M.D.,P.a.

  • Pediatric Orthopaedic Surgery Physician
  • San Antonio, TX
National Provider Identifier
1861713828
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
J4820 Issued in TX
Legal business name
ROBERT B GLEDHILL,M.D.,P.A.
Practice address
7220 Louis Pasteur Dr Ste 130
San Antonio, TX 78229-4534
Phone
(210) 615-8292
Fax
(210) 615-8297
NPI assigned
Jun 14, 2010
Organization subpart
Yes
Parent organization
ROBERT B GLEDHILL, M.D.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Authorized official

Name
Dr. Robert B Gledhill, M.D.
Title
President
Phone
(210) 615-8292

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XP3100X J4820 TX Primary
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X J4820 TX

Addresses

Primary practice location

7220 Louis Pasteur Dr Ste 130
San Antonio, TX 78229-4534

Mailing address

7220 Louis Pasteur Dr Ste 130
San Antonio, TX 78229-4534
Phone (210) 615-8292

Other identifiers 3

IdentifierTypeStateIssuer
200041186OtherTXRAILROAD MEDICARE
294505701MedicaidTX
1133936-03MedicaidTX

National Provider Directory

National Provider Directory
Part of
Robert B Gledhillmdpa

NPI Registry JSON

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1861713828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 LOUIS PASTEUR DR STE 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294534",
            "telephone_number": "210-615-8292",
            "fax_number": "210-615-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 LOUIS PASTEUR DR STE 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294534",
            "telephone_number": "210-615-8292",
            "fax_number": "210-615-8297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT B GLEDHILL,M.D.,P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROBERT B GLEDHILL, M.D.",
        "enumeration_date": "2010-06-14",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "GLEDHILL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-615-8292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "TX",
            "license": "J4820",
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "J4820",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200041186",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "294505701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1133936-03",
            "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 Apr 7, 2016; 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.