Individual provider Active NPI

Ludie Hernandez-Buck, M.D.

  • Gastroenterology Physician
  • Baytown, TX
National Provider Identifier
1306842760
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
F7780 Issued in TX
Practice address
4002 Garth Rd
Baytown, TX 77521
Phone
(281) 422-7970
NPI assigned
Jun 21, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X F7780 TX Primary

Addresses

Primary practice location

4002 Garth Rd
Baytown, TX 77521

Mailing address

4002 Garth Rd
Baytown, TX 77521-3180
Phone (281) 422-7970

Other practice location 1

4201 Garth Rd
Ste 119
Baytown, TX 77521-3154
Phone (281) 422-4792

Other practice location 2

4201 Garth Rd
Ste 119
Baytown, TX 77521-3154
Phone (281) 422-4792

Other identifiers 2

IdentifierTypeStateIssuer
123965906MedicaidTX
1239659-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: lhernandezbuck27453@direct.houstonmethodist.org

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1306842760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213180",
            "telephone_number": "281-422-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "77521",
            "telephone_number": "281-422-7970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Garth Rd",
            "address_2": "Ste 119",
            "address_purpose": "LOCATION",
            "city": "Baytown",
            "state": "TX",
            "postal_code": "775213154",
            "country_code": "US",
            "telephone_number": "281-422-4792",
            "fax_number": "281-428-5972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4201 Garth Rd",
            "address_2": "Ste 119",
            "address_purpose": "LOCATION",
            "city": "Baytown",
            "state": "TX",
            "postal_code": "775213154",
            "country_code": "US",
            "telephone_number": "281-422-4792",
            "fax_number": "281-428-5972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ-BUCK",
        "first_name": "LUDIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "F7780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123965906",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1239659-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.