Individual provider Active NPI

Douglas Hebert, CPO

  • Prosthetist
  • Corpus Christi, TX
National Provider Identifier
1467047886
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
2132 Issued in TX
Practice address
226 S Enterprize Pkwy Ste 110
Corpus Christi, TX 78405-4200
Phone
(361) 445-3586
Fax
(361) 882-1049
NPI assigned
Mar 8, 2021
Last updated
Mar 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X 2132 TX Primary

Addresses

Primary practice location

226 S Enterprize Pkwy Ste 110
Corpus Christi, TX 78405-4200

Mailing address

4242 Medical Dr Ste 2100
San Antonio, TX 78229-5641
Phone (210) 698-9377

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2132TXMDProsthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthotics Specialist Prosthetist Current Accepting new patients
Neu Limbs, LLC PastSince Mar 16, 2021 Accepting new patients

Locations

4242 Medical Dr
Ste 2100
San Antonio, TX 78229
Phone (210) 614-8777

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1467047886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 MEDICAL DR STE 2100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295641",
            "telephone_number": "210-698-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 S ENTERPRIZE PKWY STE 110",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784054200",
            "telephone_number": "361-445-3586",
            "fax_number": "361-882-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBERT",
        "first_name": "DOUGLAS",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TX",
            "license": "2132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.