DR. PENDLETON BREWSTER WICKERSHAM (NPI# 1053380048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053380048 |
| Entity Type | Individual |
| Full Name | DR. PENDLETON BREWSTER WICKERSHAM |
| Credential | M.D. |
| Practice Address |
4511 Horizon Hill Blvd Suite 150 San Antonio TX 78229-2263 |
| Practice Telephone | 2104772626 |
| Practice Fax Number | 2104772650 |
| Mailing Telephone | 2104772626 |
| Mailing Fax Number | 2104772650 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2015-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
M3113 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
4511 HORIZON HILL BLVD SUITE 150 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229-2263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306218946 | Jennifer Marie Cude | Nurse Practitioner | 4511 Horizon Hill Blvd, Suite 150, San Antonio, TX 78229-2398 | 2015-10-22 |
| 1689729295 | Arthritis Associates, P.a. | Clinic/Center | 4511 Horizon Hill Blvd, Suite 150, San Antonio, TX 78229-2263 | 2007-01-24 |
| 1285644427 | Jose F. Roldan | Internal Medicine | 4511 Horizon Hill Blvd, Suite 150, San Antonio, TX 78229-2398 | 2006-08-09 |
| 1104895713 | Rodolfo Molina | Internal Medicine | 4511 Horizon Hill Blvd, Suite 150, San Antonio, TX 78229-2263 | 2006-03-16 |
| 1649249624 | Gerald Theodore Rosenberg | Internal Medicine | 4511 Horizon Hill Blvd, Suite 150, San Antonio, TX 78229-2263 | 2006-03-14 |
| 1558330530 | Matthew Edward Mosbacker | Internal Medicine | 4511 Horizon Hill Blvd, Suite 150, San Antonio, TX 78229-2263 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
| 1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
| 1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
| 1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
| Find all providers in zip 78229 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548695794 | Ana M. Ballester-fiallo, M.d. Pllc | Internal Medicine | 730 N Main Ave Ste 622, San Antonio, TX 78205-1116 | 2013-09-06 |
| 1316190606 | Francis X. Burch | Internal Medicine | 205 Lariat Rd, San Antonio, TX 78232-1006 | 2008-10-30 |
| 1104008952 | Chelsea I. Clinton | Internal Medicine | 18585 Sigma Rd Ste 102, San Antonio, TX 78258-4204 | 2007-12-04 |
| 1508082504 | Carlos Lorenzo | Internal Medicine | 7703 Foyd Curl Dr., Uthscsa, Clinical Epidemiology, Room 5.594u, San Antonio, TX 78229-3900 | 2007-04-18 |
| 1225113434 | Robert Harold Persellin | Internal Medicine | 635 E Olmos Dr, San Antonio, TX 78212-2504 | 2006-10-26 |
| 1487669040 | Luis Ricardo Zuniga-montes | Internal Medicine | 4511 Horizon Hill Blvd., Suite 150, San Antonio, TX 78229 | 2006-07-30 |
| 1780617282 | Gautam R Moorjani | Internal Medicine | 19272 Stone Oak Parkway, Suite 101, San Antonio, TX 78258 | 2006-07-08 |
| 1013986629 | Alex Dejesus | Internal Medicine | 7959 Fredericksburg Rd, Suite 135, San Antonio, TX 78229-3430 | 2006-03-16 |
| 1316915549 | Joel Edward Rutstein | Internal Medicine | 3 Chelsea Grn, San Antonio, TX 78257-1231 | 2006-03-14 |
| 1376512368 | Emily R Pineda | Internal Medicine | 5414 Fredericksburg Rd Ste 150, San Antonio, TX 78229-3652 | 2006-03-14 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78229 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.