Individual
DR. BRUCE CHARLES BEGIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
124 E BANDERA RD STE 102, WELLMED AT BOERNE, BOERNE, TX 78006
(830) 816-2312
(830) 816-2349
Mailing address
124 E BANDERA RD STE 102, WELLMED AT BOERNE, BOERNE, TX 78006
(830) 816-2312
(830) 816-2349
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J3984
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080120052
RAILROAD MEDICARE
TX
05
—
121278902
—
TX
05
—
121278907
—
TX
01
—
84220F
BLUE CROSS BLUE SHIELD
TX
01
—
J3984
TX LICENSE NUMBER
TX
Enumeration date
08/02/2005
Last updated
02/09/2017
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