Individual provider Active NPI

Elva Alejandro Camero, M.D

  • Family Medicine Physician
  • Bridgeport, TX
National Provider Identifier
1154364198
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J5082 Issued in TX
Practice address
1905 Doctors Hospital Dr
Suite33
Bridgeport, TX 76426-2260
Phone
(940) 683-0036
Fax
(940) 683-0038
NPI assigned
Jun 14, 2006
Last updated
Jun 24, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J5082 TX Primary
Obstetrics & Gynecology Physician 207V00000X J5082 TX

Addresses

Primary practice location

1905 Doctors Hospital Dr
Suite33
Bridgeport, TX 76426-2260

Mailing address

PO Box 1540
Bridgeport, TX 76426-1540
Phone (940) 683-0036

Other identifiers 2

IdentifierTypeStateIssuer
8X3031OtherTXBC-BS IND NUMBER
J5082OtherTXDR STATE NUMBER

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
I20050621001218 TX Practitioner - Family PracticePractitioner - Obstetrics/GynecologyPractitioner - Psychiatry 0547205411 Reassigns benefits to 2 organizations
Practice locations: Bridgeport, TX

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology, Psychiatry
Education
Medical College of Wisconsin, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oscar Garza, M.D.,PAGroup PAC ID 7911074109, 2 clinicians

Practice addresses (Care Compare)

302 N Main St
Cotulla, TX 78014-2153
Phone (830) 483-5305

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J5082TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frio Hospital Association CurrentSince Aug 1, 2022 Accepting new patients
Oscar Garza, M.D.,PA Family Medicine CurrentSince Nov 1, 2015 Accepting new patients
Frio Hospital Association CurrentSince Aug 1, 2022 Accepting new patients
Frio Hospital Association Current Accepting new patients
Frio Hospital Association Past Accepting new patients
City of Laredo Past Accepting new patients

Locations

302 N Main St
Cotulla, TX 78014
Phone (830) 483-5305

151 Medical Dr
Pearsall, TX 78061
Phone (830) 334-4126

205 N Oak St
Pearsall, TX 78061
Phone (210) 920-8000

Organizations & group practices 6

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245801600000",
    "number": "1154364198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1540",
            "city": "BRIDGEPORT",
            "state": "TX",
            "postal_code": "764261540",
            "telephone_number": "940-683-0036",
            "fax_number": "940-683-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 DOCTORS HOSPITAL DR",
            "address_2": "SUITE33",
            "city": "BRIDGEPORT",
            "state": "TX",
            "postal_code": "764262260",
            "telephone_number": "940-683-0036",
            "fax_number": "940-683-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERO",
        "first_name": "ELVA",
        "middle_name": "ALEJANDRO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2009-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J5082",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J5082",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-BS IND NUMBER",
            "identifier": "8X3031",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR STATE NUMBER",
            "identifier": "J5082",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, TX

Sources for this page

Verify at the official NPI Registry.