Individual provider Active NPI

Brandon Robert Cantazaro, MD

  • Internal Medicine Physician
  • Weslaco, TX
National Provider Identifier
1023404084
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R5523 Issued in TX
Practice address
1330 E 6TH St Ste 105
Weslaco, TX 78596-6608
Phone
(956) 296-7710
Fax
(956) 296-7705
NPI assigned
Apr 7, 2015
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R5523 TX Primary
Hospitalist Physician 208M00000X R5523 TX

Addresses

Primary practice location

1330 E 6TH St Ste 105
Weslaco, TX 78596-6608

Mailing address

PO Box 531968
Harlingen, TX 78553-1968
Phone (833) 887-4863

Other identifiers 2

IdentifierTypeStateIssuer
3852444-01MedicaidTX
8JT012OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180530001513 TX Practitioner - Internal Medicine 3375835416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

205 E Toronto Ave
McAllen, TX 78503-1209
Phone (956) 296-3990

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
72.49
Promoting interoperability
94
Improvement activities
40
Cost
68.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Rio Grande Valley CurrentSince Jul 2, 2018 Accepting new patients
The University of Texas Rio Grande Valley Internal Medicine Current Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients
Knapp Medical Center Past Accepting new patients

Locations

5423 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3575

2102 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 296-1437

205 E Toronto Ave
McAllen, TX 78503
Phone (956) 296-3990

2810 W Expressway 83
Mercedes, TX 78570
Phone (956) 296-1831

1330 E 6th St
Ste 105
Weslaco, TX 78596
Phone (956) 296-7710

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1023404084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531968",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785531968",
            "telephone_number": "833-887-4863",
            "fax_number": "956-966-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 E 6TH ST STE 105",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966608",
            "telephone_number": "956-296-7710",
            "fax_number": "956-296-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTAZARO",
        "first_name": "BRANDON",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-07",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R5523",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "R5523",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3852444-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8JT012",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

Verify at the official NPI Registry.