Brusly Elio Hernandez

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

12401202 Issued in TX

Practice address

4914 Creekside Haven TRL
Spring, TX 77389-1849

Phone

(281) 866-1607

NPI assigned

Jun 27, 2026

Last updated

Jun 27, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1782518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782518400000",
    "number": "1750207395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4914 CREEKSIDE HAVEN TRL",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773891849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4914 CREEKSIDE HAVEN TRL",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773891849",
            "telephone_number": "281-866-1607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2245 N Loop 336 W",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773043636",
            "country_code": "US",
            "telephone_number": "936-441-1530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "BRUSLY",
        "middle_name": "ELIO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-27",
        "last_updated": "2026-06-27",
        "certification_date": "2026-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "12401202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betzayra Heredia
• Hany Manudis Hernandez Bernal
• Lesly Elisabeth Hernandez-Jimenez
• Mitchell Hernandez-Lucio, LSA
• Alejandro Hernandez
• Devny Shea Hernandez, LPC
• Evelyn Hernandez, SLPA
• Shandra Renee Hernandez, RD,LD
• Veronica Hernandez, BCBA
• Susan Herndon, LSA

• Family Nurse Practitioner in Spring, TX
• Providers in Spring, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.