| Dr Bruce Ryan Ball, MD | |
|
3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | |
| (210) 539-9582 | |
| Not Available |
| Full Name | Dr Bruce Ryan Ball |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology - Maternal & Fetal Medicine |
| Location | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124131818 | NPI | - | NPPES |
| 407610101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | M-9620 (Idaho) | Primary |
| 207V00000X | Obstetrics & Gynecology | M-9620 (Idaho) | Secondary |
| Entity Name | The University Of Texas Health Science Center At San Antonio |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720051717 PECOS PAC ID: 0042128548 Enrollment ID: O20040607000664 |
| Entity Name | Perinatal & Infertility Specialists Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881817930 PECOS PAC ID: 9032203195 Enrollment ID: O20070919000982 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bruce Ryan Ball, MD 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 Ph: (210) 539-9582 | Dr Bruce Ryan Ball, MD 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 Ph: (210) 539-9582 |
Dr. Jerome Lloyd Buller, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-539-2720 | |
Dr. Amy Nichole Brown, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-5337 | |
Dr. Samantha Simpson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-539-9582 | |
Dr. Caela Miller, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-5337 Fax: 210-916-1021 |