Brian D Poliquin, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA03032 Issued in TX

Practice address

7579 N Loop 1604 W Ste 100
San Antonio, TX 78249-2782

Phone

(210) 695-1900

Fax

(210) 695-1901

NPI assigned

Mar 31, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

VMD Primary Providers South Hill Country Texas, PLLCGroup PAC ID 4284048646, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Vna Homecare San Antonio Home health agency, San Antonio, TX, CCN 457777

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: brian.poliquin.1@13711.direct.athenahealth.com

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.

• VMD Primary Providers South Hill Country Texas, PLLC

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1902400880
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• LHCG Cxvi, LLC

  • Home Health Agency
  • San Antonio, TX
  • NPI 1962926642
  Care Compare affiliation

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1881836286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7579 N LOOP 1604 W",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492781",
            "telephone_number": "210-695-1900",
            "fax_number": "210-695-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7579 N LOOP 1604 W STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492782",
            "telephone_number": "210-695-1900",
            "fax_number": "210-695-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIQUIN",
        "first_name": "BRIAN",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-31",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brian.poliquin.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "7579 N Loop 1604 W Ste 100",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782492782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert John Polasek
• Alexis Rose Polczynski, DMD
• Candy Angelita Polendo, RN
• Clinton D. Polhamus, M.D.
• Ekaterina Michaela Polinski, LPMHCA
• Polished Pediatric Dentistry
• Kennie T Polit, LPC
• Viktor Polivka
• Brittany Megan Polk, OTR
• Henry Lysell Polk Jr., M.D.

• Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.