Active NPI
Ernest A Barbosa, D.D.S
- General Practice Dentistry
- Brownsville, TX
National Provider Identifier
1124030077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 15843
- Practice address
- 1205 N Expressway Ste B
1205 N Expressway Ste B
Brownsville, TX 78520-8622 - Phone
- (956) 542-1545
- Fax
- (956) 542-3094
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 15843 | TX | Primary |
Addresses
Primary practice location
1205 N Expressway Ste B
1205 N Expressway Ste B
Brownsville, TX 78520-8622
Mailing address
1552 Palm Boulevard
#21 Palm Village Shopping Center
Brownsville, TX 78520
Phone (956) 542-1545
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 75-2300597 | Other | TX | TAX ID # |
| 1350373-02 | Medicaid | TX | |
| B15843-1 | Other | TX | TEXAS CHIPS # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15843 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359590400000",
"number": "1124030077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1552 PALM BOULEVARD",
"address_2": "#21 PALM VILLAGE SHOPPING CENTER",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "78520",
"telephone_number": "956-542-1545",
"fax_number": "956-542-3094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 N EXPRESSWAY STE B",
"address_2": "1205 N EXPRESSWAY STE B",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785208622",
"telephone_number": "956-542-1545",
"fax_number": "956-542-3094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARBOSA",
"first_name": "ERNEST",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2013-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "15843",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "75-2300597",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1350373-02",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS CHIPS #",
"identifier": "B15843-1",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brownsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.