Active NPI
Roberto Ponce MD PA
- Gastroenterology Physician
- Brownsville, TX
National Provider Identifier
1124125869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- F3582
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080174801 | Medicaid | TX |
Other names 1
- GI ASSOCIATES OF BROWNSVILLE
National Provider Directory
National Provider DirectoryLocations
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.