IndividualActive
Matthew Buckles, CRNA
NPI 1417387804 · Certified Registered Nurse Anesthetist · San Antonio, TX
Provider details
- NPI number
- 1417387804
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- AP60451841 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Military Health Care Provider171000000X
Other Service Providers
Nursing Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
3551 Roger Brooke Dr
San Antonio, TX 78234-4504
Phone: (210) 960-7500
Street-level locationGet directions
Mailing address
3551 Roger Brooke Dr
San Antonio, TX 78234-4504
Additional practice locations (1)
- 1100 Wilford Hall Loop Bldg 4554Jbsa Lackland, TX 78236-5638Phone: (210) 292-6255Fax: (210) 292-7934
Registry dates
- Enumerated
- 2013-11-21
- Last updated
- 2025-09-16
- Certified
- 2025-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.