Active NPI
Douglas Hebert, CPO
- Prosthetist
- Corpus Christi, TX
National Provider Identifier
1467047886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- 2132
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2132 | TX | MD | Prosthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthotics Specialist | Prosthetist | Current | Accepting new patients |
| Neu Limbs, LLC | Past | 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.
-
dba Hill Country Orthotics & Prosthetics
- Prosthetic/Orthotic Supplier
- Corpus Christi, TX
- NPI 1003185315
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.