Provider Demographics
NPI:1033232418
Name:HILDEBRAND, BERNARD AUGUST JR (MD)
Entity type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:AUGUST
Last Name:HILDEBRAND
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1715 MCCULLOUGH AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-4046
Mailing Address - Country:US
Mailing Address - Phone:210-732-3668
Mailing Address - Fax:210-732-3338
Practice Address - Street 1:1715 MCCULLOUGH AVE FL 2
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-4046
Practice Address - Country:US
Practice Address - Phone:210-732-3668
Practice Address - Fax:210-732-3338
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2024-06-12
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Provider Licenses
StateLicense IDTaxonomies
TXN4472207RR0500X, 207RR0500X, 207RR0500X
NE23710207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX369914201Medicaid