Organization Active NPI

Raul Barreda Jr MD PA

  • Surgery Physician
  • McAllen, TX
National Provider Identifier
1417276189
Registry record updated Jul 3, 2013
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Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
RAUL BARREDA JR MD PA
Practice address
1801 S 5TH St
Suite 120
McAllen, TX 78503-2927
Phone
(956) 687-7153
NPI assigned
May 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Authorized official

Name
Raul Barreda Jr., MD
Title
Owner
Phone
(956) 687-7153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1801 S 5TH St
Suite 120
McAllen, TX 78503-2927

Mailing address

1801 S 5TH St
Suite 120
McAllen, TX 78503-2927

Other identifiers 4

IdentifierTypeStateIssuer
0034TWOtherTXBCBS
218692602OtherTXCSHCN
DR6384OtherTXRAILROAD
218692601MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1417276189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 S 5TH ST",
            "address_2": "SUITE 120",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785032927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S 5TH ST",
            "address_2": "SUITE 120",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785032927",
            "telephone_number": "956-687-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAUL BARREDA JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "BARREDA",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-687-7153",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0034TW",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "218692602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "DR6384",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218692601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.