Active NPI
Ludie Hernandez-Buck, M.D.
- Gastroenterology Physician
- Baytown, TX
National Provider Identifier
1306842760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- F7780
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123965906 | Medicaid | TX | |
| 1239659-01 | Medicaid | TX |
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
- 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.