Individual provider Active NPI

Henry Joseph Legere III, MD

  • Allergy Physician
  • Austin, TX
National Provider Identifier
1669464723
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
N0209 Issued in TX
Practice address
5656 Bee Caves Rd
Suite G201
Austin, TX 78746
Phone
(512) 732-2774
NPI assigned
Aug 16, 2005
Last updated
Nov 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X N0209 TX Primary
Allergy Physician 207KA0200X A84051 CA

Addresses

Primary practice location

5656 Bee Caves Rd
Suite G201
Austin, TX 78746

Mailing address

303 E Main St
Round Rock, TX 78664-5246
Phone (512) 732-2774

Other practice location 1

2027 S 61st St Ste 108
Temple, TX 76504-6856
Phone (254) 829-4519

Other practice location 2

2025 Memory Ln
Harker Heights, TX 76548-7487
Phone (254) 829-4519

Other practice location 3

12801 Shops Pkwy Ste 400
Bee Caves, TX 78738-6446
Phone (512) 732-2774

Other practice location 4

3101 Highway 71 E Ste 210
Bastrop, TX 78602-5157
Phone (512) 732-2774

Other practice location 5

11762 Jollyville Rd
Austin, TX 78759-3937
Phone (512) 732-2774

Other practice location 6

303 E Main St
Round Rock, TX 78664-5246
Phone (512) 732-2774 ext. 307

Other practice location 7

5625 Eiger Rd Ste 160
Austin, TX 78735-8980
Phone (512) 732-2774

Other practice location 8

6611 River Place Blvd Ste 100
Austin, TX 78730-1163
Phone (512) 732-2774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, IN, OK, IL, TN, AR7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20100812000367 TX Practitioner - Allergy/Immunology 0749344141 Reassigns benefits to 2 organizations
I20120424000223 CA Practitioner - Allergy/Immunology 0749344141 Reassigns benefits to 1 organization
I20201123001949 IN Practitioner - Allergy/Immunology 0749344141
I20201202000622 OK Practitioner - Allergy/Immunology 0749344141
I20201207002492 IL Practitioner - Allergy/Immunology 0749344141
I20201209000254 TN Practitioner - Allergy/Immunology 0749344141
I20210105001552 AR Practitioner - Allergy/Immunology 0749344141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A84051CAMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Austin Allergy, Asthma & Immunology PA CurrentSince Jan 1, 2018 Accepting new patients
Sneeze Allergy, Cough & Sinus Centers of Houston Area PLLC Current Accepting new patients
Southern California Allergy CurrentSince Oct 31, 2011 Accepting new patients
Reliant MD Medical Associates PLLC Past Accepting new patients
Massachusetts Institute of Technology Past Accepting new patients
Reliant MD Medical Associates PLLC Past Accepting new patients
Corpus Christi Allergy & Dermatology Clinic PA Allergy Past Accepting new patients
Paul Scibielski MD PA PastSince Jul 31, 2023 Accepting new patients

Locations

16542 Ventura Blvd
Ste 400
Encino, CA 91436
Phone (818) 907-8606

11762 Jollyville Rd
Austin, TX 78759
Phone (512) 258-2300

5625 Eiger Rd
Ste 125
Austin, TX 78735
Phone (512) 600-8090

5625 Eiger Rd
Ste 160
Austin, TX 78735
Phone (281) 362-0006

6611 River Place Blvd
Ste 100
Austin, TX 78730
Phone (512) 373-8583

3101 Highway 71 E
Ste 210
Bastrop, TX 78602
Phone (512) 445-5998

12801 Shops Pkwy
Ste 400
Bee Caves, TX 78738
Phone (512) 222-5856

3944 Ranch Road 620 S
Ste 202
Bee Caves, TX 78738
Phone (512) 279-2000

1640 Highland Falls Dr
Ste 601
Leander, TX 78641
Phone (512) 345-7436

303 E Main St
Round Rock, TX 78664

9191 Pinecroft Dr
Ste 290
Shenandoah, TX 77380
Phone (281) 363-3508

5656 Bee Caves Rd
Ste G201
West Lake Hills, TX 78746
Phone (512) 439-1005

Organizations & group practices 9

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1669464723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E MAIN ST",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645246",
            "telephone_number": "512-732-2774",
            "fax_number": "512-331-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD",
            "address_2": "SUITE G201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-732-2774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2027 S 61st St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765046856",
            "country_code": "US",
            "telephone_number": "254-829-4519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2025 Memory Ln",
            "address_purpose": "LOCATION",
            "city": "Harker Heights",
            "state": "TX",
            "postal_code": "765487487",
            "country_code": "US",
            "telephone_number": "254-829-4519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12801 Shops Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Bee Caves",
            "state": "TX",
            "postal_code": "787386446",
            "country_code": "US",
            "telephone_number": "512-732-2774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3101 Highway 71 E Ste 210",
            "address_purpose": "LOCATION",
            "city": "Bastrop",
            "state": "TX",
            "postal_code": "786025157",
            "country_code": "US",
            "telephone_number": "512-732-2774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11762 Jollyville Rd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787593937",
            "country_code": "US",
            "telephone_number": "512-732-2774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 E Main St",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786645246",
            "country_code": "US",
            "telephone_number": "512-732-2774 x307",
            "fax_number": "512-331-5192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5625 Eiger Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787358980",
            "country_code": "US",
            "telephone_number": "512-732-2774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6611 River Place Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787301163",
            "country_code": "US",
            "telephone_number": "512-732-2774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEGERE",
        "first_name": "HENRY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TX",
            "license": "N0209",
            "primary": true
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "A84051",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.