NPIMap

Organization Active NPI

Southern Texas Nephrology PLLC

  • Nephrology Physician
  • Brownsville, TX
National Provider Identifier
1366039901
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
SOUTHERN TEXAS NEPHROLOGY PLLC
Practice address
1080 E Los Ebanos Blvd Ste a
Brownsville, TX 78520-9988
Phone
(956) 542-3472
NPI assigned
Dec 29, 2020
Last updated
Sep 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Reuben Valentin Jr., MDNPI 1407037484
Title
Owner
Phone
(956) 212-7984

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X

Addresses

Primary practice location

1080 E Los Ebanos Blvd Ste a
Brownsville, TX 78520-9988

Mailing address

1080 E Los Ebanos Blvd Ste a
Brownsville, TX 78520-9988
Phone (956) 542-3472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210210000874 TX Part B Supplier - Clinic/Group Practice 8820403512 Receives reassigned benefits from 6 practitioners
Practice locations: Brownsville, TX

National Provider Directory

National Provider Directory

Locations

1080 E Los Ebanos Blvd
#A
Brownsville, TX 78520
Phone (956) 212-7984

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23149/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1366039901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 E LOS EBANOS BLVD STE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785209988",
            "telephone_number": "956-542-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 E LOS EBANOS BLVD STE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785209988",
            "telephone_number": "956-542-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN TEXAS NEPHROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-29",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "VALENTIN",
        "authorized_official_first_name": "REUBEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-212-7984",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.