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DR. DOUGLAS WAYNE SODERDAHL M.D.
NPI 1245217769
Urology in Fort Sam Houston, TX

Active since December 27, 2005PECOS Enrolled
3851 ROGER BROOKE DRIVE, MCHE-QD, FORT SAM HOUSTON, TX 78234(210) 916-2460 Get Directions Write a Review

NPPES record last updated: May 13, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Douglas Wayne Soderdahl M.d. NPPES

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

DR. DOUGLAS WAYNE SODERDAHL M.D. (NPI 1245217769) is an individual urology provider in Fort Sam Houston, Texas, licensed in Wisconsin (34673-20) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245217769
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. DOUGLAS WAYNE SODERDAHLCredential: M.D.
Location Address3851 ROGER BROOKE DRIVE, MCHE-QDFort Sam Houston, TX 78234-6200
Mailing Address3851 Roger Brooke Drive, Mche-qdFort Sam Houston, TX 78234-6200 · (210) 916-2460
Phone(210) 916-2460
Sole ProprietorNo
Enumeration DateDecember 27, 2005
Last NPPES UpdateMay 13, 2015
✔ NPI 1245217769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in WI · 34673-20
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.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X · License 0101233888 (VA)
3851 ROGER BROOKE DRIVE, Fort Sam Houston, TX 78234
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Douglas Wayne Soderdahl M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78234 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. SONNY HUITRON D.O.
Pathology (Anatomic Pathology & Clinical Pathology)
3851 ROGER BROOKE DRIVE, MCHE-QD(CREDS)
FORT SAM HOUSTON, TX 78234
Bexar County (210) 916-2460
AMY BEYER LCSW
Social Worker (Clinical)
3851 ROGER BROOKE DRIVE
FT. SAM HOUSTON, TX 78234
Bexar County (210) 916-0525
MRS. CLAUDETTE VIVIENNE CLARK MSN,RN,CPNP,IBCLC
Clinic/Center (Primary Care)
3851 ROGER BROOKE DRIVE, BROOKE ARMY MEDICAL CENTER
FORT SAM HOUSTON, TX 78234
Bexar County (210) 916-9233
DR. ERIC RYAN SPOTTS O.D.
Optometrist
3851 ROGER BROOKE DRIVE, BROOKE ARMY MEDICAL CENTER: MCHE-QD/ CREDENTIALS:
FORT SAM HOUSTON, TX 78234
Bexar County (210) 916-1406
DR. JONATHAN NEIL SHERROD M.D.
Anesthesiology
3851 ROGER BROOKE DRIVE, MCHE-QD (CREDS)
APO, AA 78234
Bexar County (210) 916-2460
ASMA SULTANA BUKHARI RD
Dietitian, Registered
3851 ROGER BROOKE DRIVE, BAMC - MCHE-QD (CREDS)
FORT SAM HOUSTON, TX 78234
Bexar County (210) 221-6274
DR. GARRETT SHAWN LYNCHARD MD
Internal Medicine (Cardiovascular Disease)
3851 ROGER BROOKE DRIVE, BAMC MCHE-QD/ CREDENTIALS
FORT SAM HOUSTON, TX 78234
Bexar County (210) 916-4717
DR. VU DANG PHARM.D., BCNP
Pharmacist (Nuclear)
3851 ROGER BROOKE DRIVE
FORT SAM HOUSTON, TX 78234
Bexar County (917) 226-7183

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 Douglas Soderdahl's NPI number?

The NPI number for Douglas Soderdahl is 1245217769. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Douglas Soderdahl located?

Douglas Soderdahl practices at 3851 Roger Brooke Drive Mche-Qd, Fort Sam Houston, TX 78234. The listed phone number is (210) 916-2460.

What is Douglas Soderdahl's specialty?

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

Is Douglas Soderdahl enrolled in Medicare?

Yes. Douglas Soderdahl is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Douglas Soderdahl was last updated on May 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.