Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689060642 Individual Practitioner Male Practitioner

Javier Bonilla

Pediatrics • San Antonio, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Javier Bonilla is a certified Pediatrics practicing in San Antonio, TX. With approximately 11 years of clinical experience since completing medical education in 2015, Javier Bonilla delivers high-quality medical care to the local community at 4502 MEDICAL DR.

Javier Bonilla is affiliated with University Of Texas Health Science Center At San Antonio and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

4502 Medical Dr

San Antonio, TX 782294402

Telephone 2103582015
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in San Antonio, TX

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -1.7 yrs vs City Avg
City Avg: 12.7 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
481 Specialists

Practicing in San Antonio, TX (5841 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

Clinical Seniority & Experience Comparison

Dr. Bonilla (11 Years) 11 Yrs
San Antonio Specialty Average (12.7 Years) 12.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-11-28
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX S1986

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Hospital & Practice Group Affiliations

University Of Texas Health Science Center At San Antonio

4502 Medical Dr, San Antonio, TX 782294402

Phone: 2103584000

Secondary Practice Locations

13022 Jones Maltsberger Rd

San Antonio, TX 782474219

Phone: 2104910772

Practice Associates & Co-Workers

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

40 Associated Practitioners
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Doctor of Medicine (M.D.)

Dr. Richard Ballentine , DMD

Student in an Organized Health Care Education/Training Program

NPI 1003072638

Doctor of Dental Medicine

Dr. Jose Cadena-Zuluaga , MD

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NPI 1023298759

Doctor of Medicine (M.D.)

Dr. Andres Cadena , MD

Student in an Organized Health Care Education/Training Program

NPI 1033399761

Doctor of Medicine (M.D.)

Dr. Mary-Katherine Fasy , DMD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1053592311

Doctor of Dental Medicine

Dr. Felix Casiano , MD

Student in an Organized Health Care Education/Training Program

NPI 1063692689

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location November 28, 2023

Registered at 4502 MEDICAL DR, SAN ANTONIO, TX 782294402 (Tel: 2103582015)

📍
Updated Business Mailing Address November 28, 2023

Registered at 4502 MEDICAL DR, SAN ANTONIO, TX 782294402 (Tel: 2103582015)

📍
Updated Practice Location May 26, 2023

Registered at 13022 JONES MALTSBERGER RD, SAN ANTONIO, TX 782474219 (Tel: 2104910772)

📍
Updated Business Mailing Address May 26, 2023

Registered at 13022 JONES MALTSBERGER RD, SAN ANTONIO, TX 782474219 (Tel: 2104910772)

📍
Updated Practice Location July 03, 2019

Registered at 19223 STONEHUE STE 101, SAN ANTONIO, TX 782583457 (Tel: 2103801267)

📍
Updated Business Mailing Address July 03, 2019

Registered at 19223 STONEHUE STE 101, SAN ANTONIO, TX 782583457 (Tel: 2104905104)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2019

Pediatrics (License #S1986 in TX)

NPI Profile Active April 07, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 07, 2015

Registered at 6022 GAELIC, SAN ANTONIO, TX 782405704 (Tel: 2103801267)

📍
Updated Business Mailing Address April 07, 2015

Registered at 6022 GAELIC, SAN ANTONIO, TX 782405704 (Tel: 2103801267)

👤
Provider Name / Credentials Updated April 07, 2015

Recorded as JAVIER BONILLA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 07, 2015

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: 1689060642
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2015
Last Update: November 28, 2023
Sole Proprietor: No

Mailing Address

4502 Medical Dr

San Antonio, TX 782294402

Phone: 2103582015

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.