Aeternum Fortis Medical PLLC
NPI 1235991787 · Physical Medicine & Rehabilitation Physician · San Antonio, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Aeternum Fortis Medical PLLC is a Physical Medicine & Rehabilitation Physician organization in San Antonio, TX (NPI 1235991787).
Provider details
- NPI number
- 1235991787
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shannon Ballard, Managing Manager(210) 364-3569
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-01-29
- Last updated
- 2024-01-29
- Certified
- 2024-01-29
Frequently asked questions
- What is Aeternum Fortis Medical PLLC's NPI number?
- Aeternum Fortis Medical PLLC's National Provider Identifier (NPI) is 1235991787, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Aeternum Fortis Medical PLLC?
- Aeternum Fortis Medical PLLC is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Aeternum Fortis Medical PLLC located?
- Aeternum Fortis Medical PLLC's practice location on file with NPPES is 7180 Bandera Rd, San Antonio, TX 78238-1295.
- What is Aeternum Fortis Medical PLLC's phone number?
- The practice phone number listed in the NPPES registry for Aeternum Fortis Medical PLLC is (210) 521-6886.
- Does Aeternum Fortis Medical PLLC accept Medicare?
- Aeternum Fortis Medical PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Aeternum Fortis Medical PLLC?
- The authorized official listed on Aeternum Fortis Medical PLLC's NPPES record is Shannon Ballard, Managing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Aeternum Fortis Medical PLLC's NPI active?
- Yes — Aeternum Fortis Medical PLLC's NPI (1235991787) is active in the NPPES registry as of the last update on 2024-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.