Organization Active NPI

Benigno J Fernandez, M.D., P.a.

  • Psychiatric Hospital Unit
  • San Antonio, TX
National Provider Identifier
1467677930
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
J0758 Issued in TX
Legal business name
BENIGNO J FERNANDEZ, M.D., P.A.
Practice address
17720 Corporate Woods Dr
San Antonio, TX 78259-3500
Phone
(210) 495-3627
Fax
(210) 491-3581
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Benigno J Fernandez, M.D.NPI 1598843823
Title
Psychiatrist
Phone
(210) 495-3627

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X J0758 TX Primary

Addresses

Primary practice location

17720 Corporate Woods Dr
San Antonio, TX 78259-3500

Mailing address

PO Box 90415
San Antonio, TX 78209-9084
Phone (210) 495-3627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041213000187 TX Part B Supplier - Clinic/Group Practice 6002873072 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

2143 E Hildebrand Ave
San Antonio, TX 78209
Phone (210) 804-0744

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1467677930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90415",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782099084",
            "telephone_number": "210-495-3627",
            "fax_number": "210-491-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17720 CORPORATE WOODS DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782593500",
            "telephone_number": "210-495-3627",
            "fax_number": "210-491-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENIGNO J FERNANDEZ, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "BENIGNO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "210-495-3627",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "TX",
            "license": "J0758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.