Individual provider Active NPI

Roberto Ponce, MD

  • Gastroenterology Physician
  • Brownsville, TX
National Provider Identifier
1174529291
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
F3582 Issued in TX
Practice address
2449 Boca Chica Blvd
Ste B
Brownsville, TX 78521-2368
Phone
(956) 542-1531
Fax
(956) 542-0028
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X F3582 TX
Gastroenterology Physician 207RG0100X F3582 TX Primary

Addresses

Primary practice location

2449 Boca Chica Blvd
Ste B
Brownsville, TX 78521-2368

Mailing address

2449 Boca Chica Blvd
Ste B
Brownsville, TX 78521-2368
Phone (956) 542-1531

Other identifiers 2

IdentifierTypeStateIssuer
110414301MedicaidTX
88460FOtherTXGASTROENTEROLOGY

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
I20110421000587 TX Practitioner - Internal MedicinePractitioner - Gastroenterology 0345348686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

100 E Alton Gloor Blvd
Brownsville, TX 78526-3328
Phone (956) 350-7000

1040 W Jefferson St
Brownsville, TX 78520-6338
Phone (956) 698-5557

2449 Boco Chica BLDV
Suite B
Brownsville, TX 78521-2368
Phone (956) 542-1531

3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400

PO Box
Suite 5730
Belfast, ME 04915-5700

Hospital & facility affiliations

  • Valley Baptist Medical Center- Brownsville Hospital, Brownsville, TX, CCN 450028
  • Valley Regional Medical Center Hospital, Brownsville, TX, CCN 450662

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy113
Upper gastrointestinal (GI) endoscopy for acid reflux142

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F3582TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Jan 16, 2020 Accepting new patients
BHS Physicians Network, Inc CurrentSince Jan 16, 2020 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

2449 Boca Chica Blvd
Ste B
Brownsville, TX 78521
Phone (956) 542-1531

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: roberto.ponce.1@1438.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1174529291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 BOCA CHICA BLVD",
            "address_2": "STE B",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212368",
            "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": "2449 BOCA CHICA BLVD",
            "address_2": "STE B",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212368",
            "telephone_number": "956-542-1531",
            "fax_number": "956-542-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCE",
        "first_name": "ROBERTO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "F3582",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "F3582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110414301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GASTROENTEROLOGY",
            "identifier": "88460F",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.