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Jeremy Dickerson is one of 9 sports medicine physicians practicing in San Antonio, Texas .
Jeremy Dickerson practices with Methodist Physician Practices PLLC and Shea Physical Therapy Specialists LLC.
Registry record (NPPES)
NPI
1043446206
Type
Type 1 · Individual
Primary taxonomy
Family Medicine, Sports Medicine · 207QS0010X
Address on file
1139 E Sonterra Blvd Ste 205 San Antonio, TX 78258-4349 (210) 874-3359
Enumerated
Jun 2, 2009
Record last updated
Nov 27, 2019
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXSports Medicine
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
1139 E Sonterra Blvd Suite 205
San Antonio , TX 78258
(210) 223-9617
5440 Everhart Rd Suite 1
Corpus Christi, TX 78411
(361) 994-5224
More sports medicine physicians in San Antonio
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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