Balcones Dermatology Associates, P.A.
NPI 1699044800ActiveOrganization· Dermatology· Austin, TX
Dermatology in Austin, Texas, registered in NPPES in December 2011. The authorized official on file is David A. Bushore, M.D., President, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1699044800 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 16, 2011 |
| Last updated in NPPES | Apr 27, 2026 |
| Certified by provider | Apr 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | L6307 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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