DR. BRENT STEVEN REYBURN D.O. NPI 1265691810

NPI Information

NPI: 1265691810
Provider Name: DR. BRENT STEVEN REYBURN, D.O.
Classification: Pediatrics - 2080N0001X
Entity Type: Individual

Specialization: Neonatal-Perinatal Medicine

PECOS Registration: Yes

Address:
5430 FREDERICKSBURG RD STE 508
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 541-8281
Get Directions

DR. Brent Steven Reyburn, D.O. is a neonatal-perinatal medicine pediatrics in San Antonio, TX. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. DR. Brent Steven Reyburn, D.O. NPI is 1265691810. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5430 FREDERICKSBURG RD STE 508
SAN ANTONIO, TX
ZIP 78229-561
Phone: (210) 541-8281
Fax: (210) 541-9123

The NPI 1265691810 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/7/2008 and was last updated on 12/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	34.010136	OHIO	No
2	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	P8722	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	334569601	MEDICAID	TEXAS
2	0080895	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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