Organization Active NPI

Texas Wound Care and Preventive Medicine, PA

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1982775219
Registry record updated Sep 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K6988 Issued in TX
Legal business name
TEXAS WOUND CARE AND PREVENTIVE MEDICINE, PA
Practice address
525 Oak Centre Dr
Suite 140
San Antonio, TX 78258-3944
Phone
(210) 494-6863
Fax
(210) 494-6865
NPI assigned
Nov 10, 2006
Last updated
Sep 3, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2007

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

Authorized official

Name
Dr. Robert Nelson Bertoldo, DONPI 1275509176
Title
President
Phone
(210) 494-6863

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K6988 TX Primary

Addresses

Primary practice location

525 Oak Centre Dr
Suite 140
San Antonio, TX 78258-3944

Mailing address

525 Oak Centre Dr
Suite 140
San Antonio, TX 78258-3944
Phone (210) 494-6863

National Provider Directory

National Provider Directory

Locations

525 Oak Centre Dr
Ste 140
San Antonio, TX 78258
Phone (210) 504-3650

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188777600000",
    "number": "1982775219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 OAK CENTRE DR",
            "address_2": "SUITE 140",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583944",
            "telephone_number": "210-494-6863",
            "fax_number": "210-494-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 OAK CENTRE DR",
            "address_2": "SUITE 140",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583944",
            "telephone_number": "210-494-6863",
            "fax_number": "210-494-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS WOUND CARE AND PREVENTIVE MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-09-03",
        "status": "A",
        "authorized_official_last_name": "BERTOLDO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-494-6863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K6988",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 3, 2007; 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.