Dr. Jim O Bauer , MD
Specialist • San Antonio, TX
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jim Bauer has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jim Bauer, MD was a registered Specialist practicing in San Antonio, TX. Throughout an active medical career spanning 5 years, Dr. Bauer provided care at the practice location at 711 BROADWAY ST until profile deactivation on 2017-03-07.
Practice Location & Contact Primary Location
711 Broadway St
San Antonio, TX 782151825
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in San Antonio, TX
Practicing in San Antonio, TX (2033 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 07, 2017
NPI status registered as active in NPPES database
Registered at 711 BROADWAY ST, SAN ANTONIO, TX 782151825 (Tel: 2102241749)
Registered at 611 N BIRDSONG, SAN ANTONIO, TX 782584108 (Tel: 2104943201)
Recorded as JIM BAUER, MD
Specialist (License #E2981 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
611 N Birdsong
San Antonio, TX 782584108
Phone: 2104943201
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