Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659078533 Individual Practitioner Male Practitioner

Ariel Kidron

General Practice • Jbsa Lackland, TX

Professional Overview & Biography Verified Profile Summary

Ariel Kidron is a registered healthcare professional specializing in General Practice in Jbsa Lackland, TX. Practice services are available at 1100 WILFORD HALL LOOP under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1100 Wilford Hall Loop

Jbsa Lackland, TX 782365638

Telephone 2102925350

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Jbsa Lackland, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
30 Specialists

Practicing in Jbsa Lackland, TX (1183 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-05-20
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License VA 0102208698

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
NPI 1003317744

Doctor of Osteopathic Medicine (D.O.)

NPI 1033794102

Doctor of Osteopathic Medicine (D.O.)

NPI 1154760353

Doctor of Osteopathic Medicine (D.O.)

NPI 1205371069

Doctor of Medicine (M.D.)

Dr. Rachel Wynn , MD

General Practice

NPI 1235716846

Doctor of Medicine (M.D.)

Jordan Bury

General Practice

NPI 1275112674

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Business Mailing Address May 20, 2025

Registered at 1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 782365638

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2024

General Practice (License #0102208698 in VA)

📍
Updated Practice Location January 19, 2024

Registered at 1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 782365638 (Tel: 2102925350)

NPI Profile Active February 13, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 13, 2023

Registered at 3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 782344504 (Tel: 2105395545)

📍
Updated Business Mailing Address February 13, 2023

Registered at 3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 782344504 (Tel: 2105395545)

👤
Provider Name / Credentials Updated February 13, 2023

Recorded as ARIEL KIDRON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 13, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659078533
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2023
Last Update: May 20, 2025
Sole Proprietor: Yes

Mailing Address

1100 Wilford Hall Loop

Jbsa Lackland, TX 782365638

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.