Individual provider Active NPI

Eric Brandon Perez, FNP-C

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1164907457
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138226 Issued in TX
Practice address
3100 Red River St Ste 3
Austin, TX 78705-3298
Phone
(512) 467-0088
Fax
(833) 468-6475
NPI assigned
Oct 2, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AP138226 TX
Family Nurse Practitioner 363LF0000X 858460 NV
Family Nurse Practitioner 363LF0000X AP138226 TX Primary

Addresses

Primary practice location

3100 Red River St Ste 3
Austin, TX 78705-3298

Mailing address

40 N Ih 35 Apt 3B2
Austin, TX 78701-4342
Phone (512) 773-1273

Other practice location 1

40 N Interstate 35 Apt 3B2
Austin, TX 78701-4342
Phone (512) 773-1273

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
I20250423001429 TX Practitioner - Nurse Practitioner 5991220832 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
858460NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NS3 Health Family Medicine CurrentSince Jun 2, 2025 Accepting new patients
The Wright House Wellness Center CurrentSince Mar 5, 2023 Accepting new patients

Locations

3100 Red River St
Ste 3
Austin, TX 78705
Phone (512) 467-0088

2209 W Parmer Ln
Austin, TX 78727
Phone (512) 351-6053

Interoperability endpoints

  • Direct secure messaging: eric.perez.1@32794.direct.athenahealth.com

Organizations & group practices 2

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": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1164907457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N IH 35 APT 3B2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787014342",
            "telephone_number": "512-773-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 RED RIVER ST STE 3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053298",
            "telephone_number": "512-467-0088",
            "fax_number": "833-468-6475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 N Interstate 35 Apt 3B2",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787014342",
            "country_code": "US",
            "telephone_number": "512-773-1273",
            "fax_number": "404-585-2688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ERIC",
        "middle_name": "BRANDON",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-02",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP138226",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "858460",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.