Active NPI
Hallmark House Calls, LLC
- Family Medicine Physician
- San Antonio, TX
National Provider Identifier
1891145348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K4821
- Legal business name
- HALLMARK HOUSE CALLS, LLC
- Practice address
- 227 N Loop 1604 E Ste 150
San Antonio, TX 78232-1450 - Phone
- (210) 901-5861
- Fax
- (855) 847-0003
- NPI assigned
- Jun 15, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kevin G. Bumgarner
- Title
- Ao
- Phone
- (866) 456-7968
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K4821 | TX | Primary |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | |||
| Internal Medicine Physician | 207R00000X | J6806 | TX | |
| Geriatric Psychiatry Physician | 2084P0805X | |||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
227 N Loop 1604 E Ste 150
San Antonio, TX 78232-1450
Mailing address
227 N Loop 1604 E Ste 150
San Antonio, TX 78232-1450
Phone (210) 901-5861
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3863060-01 | Medicaid | TX |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/18195/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1570924800000",
"number": "1891145348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 N LOOP 1604 E STE 150",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782321450",
"telephone_number": "210-901-5861",
"fax_number": "855-847-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 N LOOP 1604 E STE 150",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782321450",
"telephone_number": "210-901-5861",
"fax_number": "855-847-0003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HALLMARK HOUSE CALLS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-15",
"last_updated": "2019-10-13",
"status": "A",
"authorized_official_last_name": "BUMGARNER",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "AO",
"authorized_official_telephone_number": "866-456-7968",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "K4821",
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "J6806",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3863060-01",
"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 Oct 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.