Raul D. Isern Jr M.D.P.a

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

RAUL D. ISERN JR M.D.P.A

Practice address

3560 Delaware St Ste 1002
Beaumont, TX 77706-3026

Phone

(409) 835-2677

Fax

(409) 835-0464

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Raul D. Isern Jr., M. D.NPI 1417081852

Title

President

Phone

(409) 835-2677

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12469/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raul D Isern Jr., M.D.

  • Child & Adolescent Psychiatry Physician
  • Beaumont, TX
  • NPI 1417081852
  Medicare reassignment NPD Authorized official
• Anne Fernando, O.T.R.

  • Occupational Therapist
  • Beaumont, TX
  • NPI 1588811780
  NPD (past)
• Joselito Vicente, P.T.

  • Physical Therapist
  • Beaumont, TX
  • NPI 1942457148
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1427178995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3438 FANNIN ST",
            "address_2": "BLDG. 3",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013803",
            "telephone_number": "409-835-2677",
            "fax_number": "409-835-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 DELAWARE ST STE 1002",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063026",
            "telephone_number": "409-835-2677",
            "fax_number": "409-835-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAUL D. ISERN JR M.D.P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "ISERN",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-835-2677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SS#",
            "identifier": "460-11-9818",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P000R26Y6",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christy A. Rankin
• Mootha V Rao, MD
• Lauren Ratcliff, RN
• Kaycie Renee Rathburn, PHARMD
• Maham Rathi
• Ravi H Halaswamy, M.D.
• Ravi Halaswamy MD PA
• Ravikumar Kanneganti MD Kanneganti Counseling Services
• Ravikumar Kanneganti MD PA
• Linda J Ray, MD

• Child & Adolescent Psychiatry Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Child & Adolescent Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.

Verify at the official NPI Registry.