Gladys P Bembo DPM PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1203 Issued in TX

Legal business name

GLADYS P BEMBO DPM PA

Practice address

5700 N Expressway
Suite 305B
Brownsville, TX 78526-4353

Phone

(956) 504-1469

Fax

(956) 504-9270

NPI assigned

May 28, 2006

Last updated

Apr 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gladys Poblete Bembo, DPMNPI 1922055417

Title

President

Phone

(956) 504-1469

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gladys Poblete Bembo, DPM

  • Podiatrist
  • Brownsville, TX
  • NPI 1922055417
  NPD (past) Authorized official

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209254400000",
    "number": "1184671679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 N EXPRESSWAY",
            "address_2": "SUITE 305B",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264353",
            "telephone_number": "956-504-1469",
            "fax_number": "956-504-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 N EXPRESSWAY",
            "address_2": "SUITE 305B",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264353",
            "telephone_number": "956-504-1469",
            "fax_number": "956-504-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADYS P BEMBO DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2008-04-27",
        "status": "A",
        "authorized_official_last_name": "BEMBO",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "POBLETE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-504-1469",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1846438-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2008; 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.