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Aeternum Fortis Medical Pllc

Physical Medicine & Rehabilitation Physician in San Antonio, TX · enumerated 2024 · authorized official Shannon Ballard, Managing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1235991787

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Registry record

Entity type Organization (Type 2)
Legal business name Aeternum Fortis Medical Pllc
Practice address 7180 Bandera Rd, San Antonio, TX, 78238
Phone (210) 521-6886
Fax (210) 521-6608
Enumeration date Jan 29, 2024
Last updated in NPPES Jan 29, 2024

Taxonomy & classification

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Shannon Ballard
Title Managing Manager
Phone (210) 364-3569

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Aeternum Fortis Medical Pllc?
Aeternum Fortis Medical Pllc is registered in NPPES as a Physical Medicine & Rehabilitation Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-01-29.