Individual provider Active NPI

Neil Doherty, PA-C

  • Medical Physician Assistant
  • Boerne, TX
National Provider Identifier
1346605961
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA10414 Issued in TX
Practice address
1440 River Rd
Boerne, TX 78006-1958
Phone
(720) 331-9915
NPI assigned
Dec 24, 2015
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA10414 TX Primary

Addresses

Primary practice location

1440 River Rd
Boerne, TX 78006-1958

Mailing address

135 Cool Rock
Boerne, TX 78006-2998
Phone (720) 331-9915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA, UT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170112001947 TX Practitioner - Physician Assistant 0941582654 Reassigns benefits to 11 organizations
I20241029001888 WA Practitioner - Physician Assistant 0941582654 Reassigns benefits to 2 organizations
I20241030002125 UT Practitioner - Physician Assistant 0941582654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tapestry Telehealth PLLCGroup PAC ID 4789942335, 80 clinicians

Practice addresses (Care Compare)

325 N Saint Paul St
Suite 3100
Dallas, TX 75201-3923
Phone (203) 666-8145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nluc PLLC CurrentSince Jan 1, 2017 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Multi-Specialty CurrentSince May 1, 2020 Accepting new patients
The University of Texas Health Science Center at San Antonio Multi-Specialty CurrentSince Jan 11, 2021 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince May 1, 2020 Accepting new patients
Nluc PLLC Multi-Specialty CurrentSince Jan 1, 2017 Accepting new patients
University of Texas Health Science Center at San Antonio Multi-Specialty CurrentSince Jan 11, 2021 Accepting new patients

Locations

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

12505 Lebanon Rd
Frisco, TX 75035
Phone (972) 731-4800

5601 Warren Pkwy
Frisco, TX 75034
Phone (214) 407-5000

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

Organizations & group practices 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1450915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1346605961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 COOL ROCK",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062998",
            "telephone_number": "720-331-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 RIVER RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780061958",
            "telephone_number": "720-331-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "NEIL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-24",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA10414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.