OrganizationActive
Therapeutic Dimensions PLLC
NPI 1063643633 · Interventional Pain Medicine Physician · San Antonio, TX
Provider details
- NPI number
- 1063643633
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Therapeutic Dimensions, PLLC
- Organization subpart
- Yes
- Authorized official
- Gordon Beardwood, Owner(210) 824-5292
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pain Medicine (Anesthesiology) Physician207LP2900X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8715 Village Dr
Suite 514
San Antonio, TX 78217-5405
Phone: (210) 824-5292
Fax: (210) 824-5240
Street-level locationGet directions
Mailing address
Po Box 1337
San Antonio, TX 78295-1337
Registry dates
- Enumerated
- 2009-07-30
- Last updated
- 2010-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.