Organization Active NPI

Foot Clinic of South Texas

  • Podiatrist
  • Brownsville, TX
National Provider Identifier
1376215962
Registry record updated Mar 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
FOOT CLINIC OF SOUTH TEXAS
Practice address
500 Paredes Line Rd Ste a
Brownsville, TX 78521-3692
Phone
(956) 489-5450
NPI assigned
Oct 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2025

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

Authorized official

Name
Dr. Renee Rodriguez, DPMNPI 1326448572
Title
Podiatrist
Phone
(956) 489-5450

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

500 Paredes Line Rd Ste a
Brownsville, TX 78521-3692

Mailing address

2436 Pablo Kisel Blvd # 1020
Brownsville, TX 78526-4095
Phone (956) 489-5450

Other identifiers 1

IdentifierTypeStateIssuer
350637002MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220214001425 TX Part B Supplier - Clinic/Group Practice 4789077876 Receives reassigned benefits from 1 practitioner
Practice locations: Brownsville, TX
O20220927002953 TX DME Supplier - Physician - Podiatry 4789077876 Practice locations: Brownsville, TX

National Provider Directory

National Provider Directory

Locations

2436 Pablo Kisel Blvd
#1020
Brownsville, TX 78526
Phone (956) 489-5450

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743292800000",
    "number": "1376215962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 PABLO KISEL BLVD # 1020",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264095",
            "telephone_number": "956-489-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PAREDES LINE RD STE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213692",
            "telephone_number": "956-489-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT CLINIC OF SOUTH TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2025-03-30",
        "certification_date": "2025-03-30",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "956-489-5450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350637002",
            "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 Mar 30, 2025; 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.