Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.
BRUSLY ELIO HERNANDEZ
NPI 1750207395
Nurse Practitioner - Family in Spring, TX
Active since June 27, 2026
About Brusly Elio Hernandez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRUSLY ELIO HERNANDEZ (NPI 1750207395) is an individual family provider in Spring, Texas, licensed in Texas (12401202) and active in the NPI registry since June 2026. He maintains a secondary practice location in Conroe.
NPPES Registry Identity
NPI1750207395
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBRUSLY ELIO HERNANDEZ
Location Address4914 CREEKSIDE HAVEN TRLSpring, TX 77389-1849
Mailing Address4914 Creekside Haven TrlSpring, TX 77389-1849
Phone(281) 866-1607
Sole ProprietorYes
Enumeration DateJune 27, 2026
NPPES CertifiedJune 27, 2026
✔ NPI 1750207395 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 12401202
4914 CREEKSIDE HAVEN TRL, Spring, TX 77389
Secondary Practice Location 1
Location 12245 N Loop 336 WConroe, TX 77304-3636 · Phone (936) 441-1530
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750207395, enumerated as an "individual" on June 27, 2026.
The provider is located at 4914 CREEKSIDE HAVEN TRL SPRING, TX 77389 and the phone number is (281) 866-1607.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
