Individual provider Active NPI

Ray Brown Hansberger

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1790577591
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1134590 Issued in TX
Practice address
4242 Medical Dr Ste 6250
San Antonio, TX 78229-5705
Phone
(210) 479-3297
Fax
(210) 479-3295
NPI assigned
May 19, 2025
Last updated
Feb 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1134590 TX Primary
Registered Nurse 163W00000X 1134590 TX

Addresses

Primary practice location

4242 Medical Dr Ste 6250
San Antonio, TX 78229-5705

Mailing address

4242 Medical Dr Ste 6250
San Antonio, TX 78229-5705
Phone (210) 479-3297

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260304002381 TX Practitioner - Nurse Practitioner 1850873373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doctor at Your Service PLLCGroup PAC ID 1759425143, 7 clinicians

Practice addresses (Care Compare)

4242 Medical Dr
Suite 6250
San Antonio, TX 78229-5705
Phone (210) 479-3297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1134590TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor at Your Service PLLC CurrentSince Feb 20, 2026 Accepting new patients

Locations

4242 Medical Dr
Ste 6250
San Antonio, TX 78229
Phone (210) 479-3297

Organizations & group practices 1

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": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1790577591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 MEDICAL DR STE 6250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295705",
            "telephone_number": "210-479-3297",
            "fax_number": "210-479-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 MEDICAL DR STE 6250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295705",
            "telephone_number": "210-479-3297",
            "fax_number": "210-479-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSBERGER",
        "first_name": "RAY",
        "middle_name": "BROWN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-19",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1134590",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1134590",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.