Individual provider Active NPI

Ernesto Bruzon Infantes

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1043055759
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1069031 Issued in TX
Practice address
6955 Gulf Fwy
Houston, TX 77087-2512
Phone
(786) 357-3719
Fax
(713) 424-2943
NPI assigned
Jun 26, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1069031 TX
Family Nurse Practitioner 363LF0000X 1069031 TX Primary

Addresses

Primary practice location

6955 Gulf Fwy
Houston, TX 77087-2512

Mailing address

6955 Gulf Fwy
Houston, TX 77087-2512
Phone (713) 596-5839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250205001678 TX Practitioner - Nurse Practitioner 9830629989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica Hispana Villa Salud LLCGroup PAC ID 7012447162, 2 clinicians

Practice addresses (Care Compare)

6955 Gulf Fwy
Houston, TX 77087-2512
Phone (713) 596-5839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1069031TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Hispana Villa Salud LLC Family Medicine CurrentSince Nov 18, 2024 Accepting new patients

Locations

6955 Gulf Fwy
Houston, TX 77087
Phone (713) 347-9750

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEHGDD/Endpoint/DEHGDD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1043055759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6955 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770872512",
            "telephone_number": "713-596-5839",
            "fax_number": "713-424-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6955 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770872512",
            "telephone_number": "786-357-3719",
            "fax_number": "713-424-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUZON INFANTES",
        "first_name": "ERNESTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-26",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "1069031",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1069031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.