Organization Active NPI

Genevieve M, Belgrave, M.D. PA

  • Specialist
  • El Paso, TX
National Provider Identifier
1043454648
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G7162 Issued in TX
Legal business name
GENEVIEVE M, BELGRAVE, M.D. PA
Practice address
1316 N Yarbrough Dr
El Paso, TX 79925-7800
Phone
(915) 590-7378
Fax
(915) 590-7379
NPI assigned
Apr 27, 2009
Last updated
Nov 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Authorized official

Name
Genevieve M Belgrave, M.D.NPI 1649200668
Title
Owner
Phone
(915) 204-0526

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G7162 TX Primary

Addresses

Primary practice location

1316 N Yarbrough Dr
El Paso, TX 79925-7800

Mailing address

7712 Grand Canyon PL
El Paso, TX 79904-3140
Phone (915) 204-0526

Other identifiers 1

IdentifierTypeStateIssuer
1649200668OtherTXINDIVIDUAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090528000476 TX Part B Supplier - Clinic/Group Practice 1759430481 Receives reassigned benefits from 2 practitioners
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

1316 N Yarbrough Dr
El Paso, TX 79925
Phone (915) 201-2606

1316 N Yarbrough Dr
Ste 1B
El Paso, TX 79925
Phone (915) 545-8655

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12211/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1043454648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7712 GRAND CANYON PL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799043140",
            "telephone_number": "915-204-0526",
            "fax_number": "915-779-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 N YARBROUGH DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257800",
            "telephone_number": "915-590-7378",
            "fax_number": "915-590-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEVIEVE M, BELGRAVE, M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-27",
        "last_updated": "2022-11-15",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "BELGRAVE",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-204-0526",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "G7162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1649200668",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.