Organization Active NPI

Roberto Ponce MD PA

  • Gastroenterology Physician
  • Brownsville, TX
National Provider Identifier
1124125869
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
F3582 Issued in TX
Legal business name
ROBERTO PONCE MD PA
Practice address
5700 N Expressway
#303
Brownsville, TX 78526-4310
Phone
(956) 542-1531
Fax
(956) 542-0028
NPI assigned
Sep 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Dr. Roberto Ponce, MD
Title
President
Phone
(956) 542-1531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X F3582 TX Primary

Addresses

Primary practice location

5700 N Expressway
#303
Brownsville, TX 78526-4310

Mailing address

5700 N Expressway
#303
Brownsville, TX 78526-4310
Phone (956) 542-1531

Other identifiers 1

IdentifierTypeStateIssuer
080174801MedicaidTX

Other names 1

  • GI ASSOCIATES OF BROWNSVILLE Doing business as

National Provider Directory

National Provider Directory

Locations

2449 Boca Chica Blvd
Brownsville, TX 78521

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1124125869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 N EXPRESSWAY",
            "address_2": "#303",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264310",
            "telephone_number": "956-542-1531",
            "fax_number": "956-542-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 N EXPRESSWAY",
            "address_2": "#303",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264310",
            "telephone_number": "956-542-1531",
            "fax_number": "956-542-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTO PONCE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "PONCE",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-542-1531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "F3582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080174801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GI ASSOCIATES OF BROWNSVILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.