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

Mr. Joseph Meran Blydenburgh Jr., PA

Individual provider Physician Assistant · NPI 1730154881

Mr. Joseph Meran Blydenburgh Jr., PA is a Physician Assistant in San Antonio, Texas. Qualified in 1995, 31 years ago. Accepts Medicare assignment. Licensed in Texas.

Years since qualifying
31
Licensed in
TX
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2961 Mossrock
San Antonio, TX 78230-5119
Phone: (210) 731-4800
Fax: (210) 731-4810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01457 (TX)

Record details

NPI number1730154881
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 22, 2006
Last updated in NPPESOctober 3, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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