Individual provider Active NPI

Raymond Chester Hesterberg Jr., MD

  • Specialist
  • Brownsville, TX
National Provider Identifier
1801878525
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
F4076 Issued in TX
Practice address
1100 FM 802
Suite 103
Brownsville, TX 78526-1504
Phone
(956) 542-3930
Fax
(956) 542-0933
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X F4076 TX Primary

Addresses

Primary practice location

1100 FM 802
Suite 103
Brownsville, TX 78526-1504

Mailing address

1100 FM 802 Ste. 103
Brownsville, TX 78521
Phone (956) 542-3930

Other identifiers 1

IdentifierTypeStateIssuer
099532601MedicaidTX

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Texan Coast Eye Care & Surgery PastSince Jan 1, 1990 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1801878525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 FM 802 STE. 103",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78521",
            "telephone_number": "956-542-3930",
            "fax_number": "956-542-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 FM 802",
            "address_2": "SUITE 103",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785261504",
            "telephone_number": "956-542-3930",
            "fax_number": "956-542-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESTERBERG",
        "first_name": "RAYMOND",
        "middle_name": "CHESTER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "F4076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099532601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.