Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jeremy Lee Dickerson, MD

Individual provider Family Medicine Physician · NPI 1043446206

Dr. Jeremy Lee Dickerson, MD is a Sports Medicine in San Antonio, Texas. Graduated from Texas Tech University Health Science Center School of Medicine in 2009, 17 years ago. Practices with Methodist Physician Practices PLLC, a 173-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
17
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
TX
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1139 E Sonterra Blvd Ste 205
San Antonio, TX 78258-4349
Phone: (210) 874-3359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 414 Navarro St, San Antonio, TX 78205-2516 — (210) 224-2655

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence P4860 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence BP10035367 (TX)

Record details

NPI number1043446206
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2009
Last updated in NPPESNovember 27, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Methodist Physician Practices Pllc — 173 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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