Active NPI
Joshua Cabrera, M.D.
- Psychiatry Physician
- Bryan, TX
National Provider Identifier
1235254483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- P4030
- Practice address
- 2900 E 29TH St
Suite 101
Bryan, TX 77802-2622 - Phone
- (979) 774-8200
- Fax
- (979) 776-6905
- NPI assigned
- Mar 20, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD 15229R | LA | |
| Psychiatry Physician | 2084P0800X | P4030 | TX | Primary |
Addresses
Primary practice location
2900 E 29TH St
Suite 101
Bryan, TX 77802-2622
Mailing address
2900 E 29TH St
Suite 101
Bryan, TX 77802-2622
Phone (979) 774-8200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 326386501 | Medicaid | TX | |
| 957235 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Oregon Health Sciences University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
804 S Texas Ave
Bryan, TX 77803-3946
Phone (979) 822-6467
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 15229R | LA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mhmra of Brazos Valley | Current | Accepting new patients |
Locations
804 S Texas Ave
Bryan, TX 77803
Phone (979) 361-9851
1504 S Texas Ave
Bryan, TX 77802
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bryan, TX
- NPI 1881621225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460592000000",
"number": "1235254483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 E 29TH ST",
"address_2": "SUITE 101",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022622",
"telephone_number": "979-774-8200",
"fax_number": "979-776-6905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 E 29TH ST",
"address_2": "SUITE 101",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022622",
"telephone_number": "979-774-8200",
"fax_number": "979-776-6905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABRERA",
"first_name": "JOSHUA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2016-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "LA",
"license": "MD 15229R",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "P4030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "326386501",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "957235",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.