DR. BRENT STEVEN REYBURN D.O.
NPI 1265691810
Pediatrics - Neonatal-Perinatal Medicine in San Antonio, TX

Q: What is Brent Reyburn's NPI number?

The NPI number for Brent Reyburn is 1265691810. It was assigned to this individual provider in the NPPES registry on June 7, 2008.

Q: What is Brent Reyburn's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Brent Reyburn was last updated on December 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 07, 2008PECOS Enrolled

5430 FREDERICKSBURG RD STE 508, SAN ANTONIO, TX 78229(210) 541-8281(210) 541-9123 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Brent Steven Reyburn D.o. NPPES

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

DR. BRENT STEVEN REYBURN D.O. (NPI 1265691810) is an individual neonatal-perinatal medicine provider in San Antonio, Texas, licensed in Texas (P8722) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265691810

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameDR. BRENT STEVEN REYBURNCredential: D.O.

Location Address5430 FREDERICKSBURG RD STE 508San Antonio, TX 78229-3561

Mailing Address5430 Fredericksburg Rd Ste 508San Antonio, TX 78229-3561 · (210) 541-8281 · Fax (210) 541-9123

Phone(210) 541-8281

Fax(210) 541-9123

Sole ProprietorNo

Enumeration DateJune 7, 2008

Last NPPES UpdateDecember 29, 2020

NPPES CertifiedDecember 29, 2020

✔ NPI 1265691810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

Licenses✔ Licensed in TX · P8722✔ Licensed in OH · 34.010136

Definition

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.

5430 FREDERICKSBURG RD STE 508, San Antonio, TX 78229

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Other Identifiers 2

Medicaid334569601TX

Medicaid0080895OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Insurance Company and more.Insurance ›

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. Brent Steven Reyburn D.o. 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.

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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.

KATHLEEN MARIE MCINNIS NNP

Nurse Practitioner (Neonatal)