JOHN BRUYERE MD
NPI 1245686120
Pediatrics in San Antonio, TX

Active since May 10, 2016PECOS EnrolledAccepts Medicare Assignment
333 N SANTA ROSA, SAN ANTONIO, TX 78207(210) 704-3030 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2023, Aug 20, 2019, May 10, 2016 (3 updates tracked since 2016).

About John Bruyere Md NPPES

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

JOHN BRUYERE MD (NPI 1245686120) is an individual pediatrics provider in San Antonio, Texas, licensed in Texas (S0263) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Antonio, and is a graduate of Jc Edwards School Of Medicine, Marshall University (2016).

NPPES Registry Identity

NPI1245686120
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJOHN BRUYERECredential: MD
Location Address333 N SANTA ROSASan Antonio, TX 78207-3108
Mailing Address315 N San Saba Ste 1135San Antonio, TX 78207-3255 · (210) 704-4275 · Fax (210) 625-5689
Sole ProprietorYes
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2016
Enumeration DateMay 10, 2016
Last NPPES UpdateJune 5, 20233 updates tracked since enumeration
NPPES CertifiedJune 5, 2023
NPI 1245686120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in TX · S0263
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TRN 22838 (FL)
333 N SANTA ROSA, San Antonio, TX 78207

Secondary Practice Location 1

Location 11102 Barclay StSan Antonio, TX 78207-7161 · Phone (210) 233-7000 · Fax (210) 431-3094

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John Bruyere Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587990205
PECOS Enrollment IDI20190801001718
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 78207 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
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.

Pediatrics (Pediatric Hematology-Oncology)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Pediatrics (Pediatric Emergency Medicine)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Nurse Practitioner (Pediatrics, Critical Care)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Pediatrics
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Student in an Organized Health Care Education/Training Program
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Pediatrics
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Obstetrics & Gynecology (Maternal & Fetal Medicine)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Clinical Neuropsychologist
333 N SANTA ROSA
SAN ANTONIO, TX 78207

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 John Bruyere's NPI number?

The NPI number for John Bruyere is 1245686120. It was assigned to this individual provider in the NPPES registry on May 10, 2016.

Where is John Bruyere located?

John Bruyere practices at 333 N Santa Rosa, San Antonio, TX 78207. The listed phone number is (210) 704-3030.

What is John Bruyere's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is John Bruyere enrolled in Medicare?

Yes. John Bruyere is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Bruyere accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Molina Healthcare and Oscar Insurance Company list John Bruyere as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Bruyere was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.