Individual provider Active NPI

Carlos Roberto Ponce, MD

  • Gastroenterology Physician
  • Brownsville, TX
National Provider Identifier
1386709707
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
M5886 Issued in TX
Practice address
5700 N Expressway
#303
Brownsville, TX 78526-4310
Phone
(956) 542-1531
Fax
(956) 542-0028
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hepatology Physician 207RI0008X M5886 TX
Gastroenterology Physician 207RG0100X 051371 GA
Gastroenterology Physician 207RG0100X M5886 TX Primary

Addresses

Primary practice location

5700 N Expressway
#303
Brownsville, TX 78526-4310

Mailing address

5700 N Expressway
#303
Brownsville, TX 78526-4353
Phone (956) 542-1531

Other identifiers 2

IdentifierTypeStateIssuer
191309701MedicaidTX
191309702MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070604000632 TX Practitioner - Internal MedicinePractitioner - Gastroenterology 5496853103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Texas Tech University Health Science Center School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

2449 Boco Chica BLDV
Suite B
Brownsville, TX 78521-2368
Phone (956) 542-1531

Hospital & facility affiliations

  • Valley Baptist Medical Center- Brownsville Hospital, Brownsville, TX, CCN 450028
  • Valley Regional Medical Center Hospital, Brownsville, TX, CCN 450662

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy121
Upper gastrointestinal (GI) endoscopy for acid reflux223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M5886TXMDGastroenterology Physician
051371GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Jun 1, 2020 Accepting new patients
BHS Physicians Network, Inc CurrentSince Jun 1, 2020 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

2449 Boca Chica Blvd
Ste B
Brownsville, TX 78521
Phone (956) 542-1531

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: carlos.ponce.1@1438.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1386709707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 N EXPRESSWAY",
            "address_2": "#303",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264353",
            "telephone_number": "956-542-1531",
            "fax_number": "956-542-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 N EXPRESSWAY",
            "address_2": "#303",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264310",
            "telephone_number": "956-542-1531",
            "fax_number": "956-542-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCE",
        "first_name": "CARLOS",
        "middle_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "TX",
            "license": "M5886",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "051371",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "M5886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191309701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191309702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.