Organization Active NPI

David S Hernandez, M.D., P.a.

  • Pulmonary Disease Physician
  • New Braunfels, TX
National Provider Identifier
1922446418
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
M4148 Issued in TX
Legal business name
DAVID S HERNANDEZ, M.D., P.A.
Practice address
1619 Common St Ste 902
New Braunfels, TX 78130-3461
Phone
(830) 214-0104
Fax
(830) 358-7371
NPI assigned
Jun 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Authorized official

Name
Dr. David S Hernandez, M.D.NPI 1578505665
Title
President
Phone
(830) 214-0104

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
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X M4148 TX Primary

Addresses

Primary practice location

1619 Common St Ste 902
New Braunfels, TX 78130-3461

Mailing address

1619 Common St Ste 902
New Braunfels, TX 78130-3461
Phone (830) 214-0104

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140124001096 TX Part B Supplier - Clinic/Group Practice 7113155979 Receives reassigned benefits from 1 practitioner
Practice locations: New Braunfels, TX

National Provider Directory

National Provider Directory

Locations

1619 E Common St
Ste 902
New Braunfels, TX 78130
Phone (210) 545-7171

Practitioners & affiliated clinicians

Practitioners 1

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": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1922446418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 COMMON ST STE 902",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303461",
            "telephone_number": "830-214-0104",
            "fax_number": "830-358-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 COMMON ST STE 902",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303461",
            "telephone_number": "830-214-0104",
            "fax_number": "830-358-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S HERNANDEZ, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-214-0104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "M4148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.