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59TH MDW-WHASC-LACKLAND
NPI 1275511776
Clinic/Center - Military and U.S. Coast Guard Ambulatory Procedure in Lackland A F B, TX

Active since January 04, 2006
2200 BERGQUIST DR, SUITE 1 ADBS, LACKLAND A F B, TX 78236(210) 292-7575(210) 292-2592 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2025, Jun 12, 2025 (2 updates tracked since 2025).

About 59th Mdw-whasc-lackland NPPES

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

59TH MDW-WHASC-LACKLAND (NPI 1275511776) is a healthcare organization registered as a military and u.s. coast guard ambulatory procedure in Lackland A F B, Texas and active in the NPI registry since January 2006. The organization lists Jen Lewandowski, Dha Ubo, as its authorized official.

NPPES Registry Identity

NPI1275511776
Entity TypeOrganization
Primary Taxonomy261QM1101X
Legal Business Name59TH MDW-WHASC-LACKLAND
Location Address2200 BERGQUIST DR, SUITE 1 ADBSLackland A F B, TX 78236-9907
Mailing Address2200 Bergquist Dr, Suite 1 AdbsLackland A F B, TX 78236-9907 · (210) 292-7575 · Fax (210) 292-2592
Phone(210) 292-7575
Fax(210) 292-2592
Organization SubpartYes
Authorized OfficialJen LewandowskiDha Ubo · (703) 817-4030
Enumeration DateJanuary 4, 2006
Last NPPES UpdateJune 17, 20252 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
✔ NPI 1275511776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Military and U.S. Coast Guard Ambulatory ProcedureAmbulatory Health Care Facilities
Taxonomy Code261QM1101X
Definition
That part of a fixed (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial take home pharmaceuticals.
Also ListedClinic/Center · Military/U.S. Coast Guard OutpatientTaxonomy 261QM1100X
Also ListedMilitary/U.S. Coast Guard PharmacyTaxonomy 332000000X
2200 BERGQUIST DR, Lackland A F B, TX 78236
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Other Names 1

Other Name59 Mdw Adbs

Other Identifiers 3

OtherHH6032TX · Blue Cross Blue Shield
Other4596776TX · Ncpdp
Medicaid021757201TX

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. ALTON POWELL III MD
Preventive Medicine (Aerospace Medicine)
2200 BERGQUIST DR, SUITE 1 (ATTN:CREDENTIALS (CMC))
LACKLAND A F B, TX 78236
Bexar County (210) 292-6707
EMILY NELL PAVLIK MD
Emergency Medicine
2200 BERGQUIST DR, WILFORD HALL MED CTR, STE 1,DEPT. OF EMERGENCY MEDICINE
LACKLAND A F B, TX 78236
Bexar County (210) 292-7331
DR. BRIAN THOMAS CALLAHAN M.D.
Radiology (Diagnostic Radiology)
2200 BERGQUIST DR
LACKLAND A F B, TX 78236
Bexar County (210) 292-2205
DR. JAMES CLAUD CHAPMAN O.D.
Optometrist
2200 BERGQUIST DR, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
Bexar County (210) 292-2651
DEREK KURT URBAN MD
Radiology (Diagnostic Radiology)
2200 BERGQUIST DR, SUITE 1
LACKLAND A F B, TX 78236
Bexar County (210) 292-6707
DR. DANIEL JAMES SMITH DMD
Dentist
2200 BERGQUIST DR, SUITE 1
LACKLAND A F B, TX 78236
Bexar County (210) 292-7749
DR. LOUIS D. ELDREDGE M.D.
Preventive Medicine (Aerospace Medicine)
2200 BERGQUIST DR, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
Bexar County (210) 536-6931
DR. ALEX A DEPERALTA JR. D.D.S.
Dentist (General Practice)
2200 BERGQUIST DR, SUITE 1
LACKLAND A F B, TX 78236
Bexar County (210) 292-7876

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 59th Mdw-Whasc-Lackland's NPI number?

The NPI number for 59th Mdw-Whasc-Lackland is 1275511776. It was assigned to this organization in the NPPES registry on January 4, 2006. The provider is also known as 59 Mdw Adbs.

Where is 59th Mdw-Whasc-Lackland located?

59th Mdw-Whasc-Lackland is located at 2200 Bergquist Dr Suite 1 Adbs, Lackland A F B, TX 78236. The listed phone number is (210) 292-7575.

What is 59th Mdw-Whasc-Lackland's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military and U.S. Coast Guard Ambulatory Procedure, with taxonomy code 261QM1101X.

When was this NPI record last updated?

The NPPES record for 59th Mdw-Whasc-Lackland was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.