Active NPI
M. Boyd Herndon, D.O., P.a.
- Allergy & Immunology Physician
- Port Neches, TX
National Provider Identifier
1285730747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- G9118
- Legal business name
- M. BOYD HERNDON, D.O., P.A.
- Practice address
- 886 Sierra Dr
Port Neches, TX 77651-5607 - Phone
- (409) 729-6401
- Fax
- (409) 729-6015
- NPI assigned
- Sep 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lori A Rice
- Title
- Insuranc Clerk
- Phone
- (409) 729-6401
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | G9118 | TX | Primary |
| Facial Plastic Surgery Physician | 207YS0123X | G9118 | TX |
Addresses
Primary practice location
886 Sierra Dr
Port Neches, TX 77651-5607
Mailing address
886 Sierra Dr
Port Neches, TX 77651-5607
Phone (409) 729-6401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
886 Sierra Dr
Port Neches, TX 77651
Phone (406) 729-6401
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Facial Plastic Surgery Physician
- Port Neches, TX
- NPI 1235154758
Allergy & Immunology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1285730747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "886 SIERRA DR",
"city": "PORT NECHES",
"state": "TX",
"postal_code": "776515607",
"telephone_number": "409-729-6401",
"fax_number": "409-729-6015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "886 SIERRA DR",
"city": "PORT NECHES",
"state": "TX",
"postal_code": "776515607",
"telephone_number": "409-729-6401",
"fax_number": "409-729-6015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M. BOYD HERNDON, D.O., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-15",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "RICE",
"authorized_official_first_name": "LORI",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "INSURANC CLERK",
"authorized_official_telephone_number": "409-729-6401",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "TX",
"license": "G9118",
"primary": true
},
{
"code": "207YS0123X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "TX",
"license": "G9118",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Neches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.