Individual provider Active NPI

Osvaldo Alexandro Brusco Jr., M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Corpus Christi, TX
National Provider Identifier
1154329332
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
K1785 Issued in TX
Practice address
5814 Esplanade Dr
Corpus Christi, TX 78414
Phone
(361) 885-0448
Fax
(361) 879-0982
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X K1785 TX Primary

Addresses

Primary practice location

5814 Esplanade Dr
Corpus Christi, TX 78414

Mailing address

PO Box 61160
Corpus Christi, TX 78466-1160
Phone (361) 885-0448

Other practice location 1

613 Elizabeth St
Ste 301
Corpus Christi, TX 78404-2220
Phone (361) 885-0448

Other identifiers 2

IdentifierTypeStateIssuer
K1785OtherTXTEXAS MEDICAL BOARD
113278901MedicaidTX

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
I20060203000191 TX Practitioner - Endocrinology 3779597299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5814 Esplanade Dr
Corpus Christi, TX 78414-4173
Phone (361) 885-0448

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K1785TXMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osvaldo a Brusco MD PA Endocrinology, Diabetes & Metabolism CurrentSince Jan 11, 2010 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

5814 Esplanade Dr
Corpus Christi, TX 78414
Phone (361) 813-0684

613 Elizabeth St
Ste 301
Corpus Christi, TX 78404
Phone (361) 885-0448

Interoperability endpoints

  • Direct secure messaging: osvaldoabrusco.osvaldoabrusco@137235.advancedmd-direct.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1154329332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61160",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784661160",
            "telephone_number": "361-885-0448",
            "fax_number": "361-857-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5814 ESPLANADE DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78414",
            "telephone_number": "361-885-0448",
            "fax_number": "361-879-0982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "613 Elizabeth St",
            "address_2": "Ste 301",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784042220",
            "country_code": "US",
            "telephone_number": "361-885-0448",
            "fax_number": "361-879-0982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUSCO",
        "first_name": "OSVALDO",
        "middle_name": "ALEXANDRO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "K1785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "K1785",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113278901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.