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MR. JERRY ELLIOTT KRUSE MD
NPI 1205931417
Urology in San Antonio, TX

Active since September 13, 2006
1303 MCCULLOUGH AVE, SUITE #561, SAN ANTONIO, TX 78212(210) 227-9376(210) 227-0916 Get Directions Write a Review

NPPES record last updated: July 6, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jerry Elliott Kruse Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JERRY ELLIOTT KRUSE MD (NPI 1205931417) is an individual urology provider in San Antonio, Texas, licensed in Texas (E4464) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1205931417
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameMR. JERRY ELLIOTT KRUSECredential: MD
Location Address1303 MCCULLOUGH AVE, SUITE #561San Antonio, TX 78212-5668
Mailing Address1303 Mccullough Ave, Suite #561San Antonio, TX 78212-5668 · (210) 227-9376 · Fax (210) 227-0916
Phone(210) 227-9376
Fax(210) 227-0916
Sole ProprietorNo
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJuly 6, 2010
✔ NPI 1205931417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in TX · E4464
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1303 MCCULLOUGH AVE, San Antonio, TX 78212
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Other Identifiers 3

Medicaid101951502TX
Medicare UPINC18060TX
Medicare ID-Type Unspecified816414TX

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT JAY MAGNON M.D.
Dermatology
1303 MCCULLOUGH AVE, SUITE 525
SAN ANTONIO, TX 78212
Bexar County (210) 225-2769
DR. DANIEL A CALDERON M.D.
Obstetrics & Gynecology
1303 MCCULLOUGH AVE, SUITE GL70
SAN ANTONIO, TX 78212
Bexar County (210) 226-9705
PETER J WILLIAMS DPM
Podiatrist (Foot & Ankle Surgery)
1303 MCCULLOUGH AVE, SUITE 348
SAN ANTONIO, TX 78212
Bexar County (210) 227-4164
FIRST DIABETES SUPPLY, LLC
Durable Medical Equipment & Medical Supplies
1303 MCCULLOUGH AVE
SAN ANTONIO, TX 78212
Bexar County (512) 448-1255
MARK A ISAEFF M.D.
Internal Medicine
1303 MCCULLOUGH AVE, SUITE 542
SAN ANTONIO, TX 78212
Bexar County (210) 572-4431
ALAMO CITY CARDIOVASCULAR SURGEONS
Specialist
1303 MCCULLOUGH AVE, SUITE 270
SAN ANTONIO, TX 78212
Bexar County (210) 932-1487
ROLAND R. GARCIA D.D.S.
Dentist (General Practice)
1303 MCCULLOUGH AVE, SUITE 230
SAN ANTONIO, TX 78212
Bexar County (210) 226-9521
SAN ANTONIO INTERNAL MEDICINE PHYSICIANS, PLLC
Internal Medicine
1303 MCCULLOUGH AVE, SUITE #560
SAN ANTONIO, TX 78212
Bexar County (210) 223-9617

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Kruse's NPI number?

The NPI number for Jerry Kruse is 1205931417. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Jerry Kruse located?

Jerry Kruse practices at 1303 Mccullough Ave Suite #561, San Antonio, TX 78212. The listed phone number is (210) 227-9376.

What is Jerry Kruse's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Jerry Kruse was last updated on July 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.