Individual provider Active NPI

Eder Francisco Hernandez, MPAS, PA-C

  • Medical Physician Assistant
  • Brownsville, TX
National Provider Identifier
1386956852
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA06257 Issued in TX
Practice address
2534 Boca Chica Blvd
Brownsville, TX 78521
Phone
(956) 546-2000
Fax
(718) 640-2713
NPI assigned
Jul 13, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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 PA06257 TX Primary

Addresses

Primary practice location

2534 Boca Chica Blvd
Brownsville, TX 78521

Mailing address

2534 Boca Chica Blvd
Brownsville, TX 78521-3496
Phone (956) 546-2000

Other practice location 1

2534 Boca Chica Blvd
Brownsville, TX 78521
Phone (956) 546-2000

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
I20130204000009 TX Practitioner - Physician Assistant 0648424465 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Valley Med Urgent Care PLLCGroup PAC ID 5092083592, 7 clinicians
Normandy Urgent Care Center PAGroup PAC ID 2668503178, 8 clinicians

Practice addresses (Care Compare)

2534 Boca Chica Blvd
Brownsville, TX 78521-2310

2534 Boca Chica Blvd
Brownsville, TX 78521-3496
Phone (956) 546-2000

779 Normandy St
Suite 114
Houston, TX 77015-3441
Phone (713) 453-8900

9504 Long Point Rd
Suite E
Houston, TX 77055-4226
Phone (713) 461-3535

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA06257TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Star Pain & Injury Clinic PLLC Current Accepting new patients
Stanley Sy MD PA Past Accepting new patients
Normandy Urgent Care Center PA Past Accepting new patients

Organizations & group practices 6

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": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1386956852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 BOCA CHICA BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213496",
            "telephone_number": "956-546-2000",
            "fax_number": "718-640-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2534 BOCA CHICA BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78521",
            "telephone_number": "956-546-2000",
            "fax_number": "718-640-2713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2534 Boca Chica Blvd",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "78521",
            "country_code": "US",
            "telephone_number": "956-546-2000",
            "fax_number": "718-640-2713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "EDER",
        "middle_name": "FRANCISCO",
        "name_prefix": "Mr.",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-13",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.