Active NPI
Randolfo V Castillo, MD
- Anesthesiology Physician
- Brownsville, TX
National Provider Identifier
1205919602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G1867
- Practice address
- 1040 W Jefferson St
Brownsville, TX 78520 - Phone
- (956) 544-1400
- Fax
- (956) 698-5445
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G1867 | TX | Primary |
Addresses
Primary practice location
1040 W Jefferson St
Brownsville, TX 78520
Mailing address
PO Box 4856
Brownsville, TX 78523
Phone (956) 542-7502
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00FW07 | Other | TX | BCBS |
| 050056367 | Other | TX | MEDICARE RR |
| 137196508 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G1867 | TX | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205919602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4856",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "78523",
"telephone_number": "956-542-7502",
"fax_number": "956-541-1958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 W JEFFERSON ST",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "78520",
"telephone_number": "956-544-1400",
"fax_number": "956-698-5445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "RANDOLFO",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "G1867",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00FW07",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "050056367",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137196508",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}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 Jul 8, 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.