Active NPI
Humberto R. Bruschetta, M.D., P.a.
- Internal Medicine Physician
- Kingsville, TX
National Provider Identifier
1437346228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 9634
- Legal business name
- HUMBERTO R. BRUSCHETTA, M.D., P.A.
- Practice address
- 2511 E Corral Ave
Kingsville, TX 78363-4101 - Phone
- (361) 516-0097
- Fax
- (361) 516-0182
- NPI assigned
- Sep 26, 2007
- Last updated
- Jan 6, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Humberto R Bruschetta, MD, FACP
- Title
- Owner
- Phone
- (361) 516-0097
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9634 | TX | Primary |
Addresses
Primary practice location
2511 E Corral Ave
Kingsville, TX 78363-4101
Mailing address
2511 East Corral Ave
Kingsville, TX 78363-4101
Phone (361) 516-0097
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079672401 | Medicaid | TX | |
| 1760437438 | Other | TX | NPI |
National Provider Directory
National Provider DirectoryLocations
500 E Caesar Ave
Kingsville, TX 78363
Phone (361) 516-0097
1301 E 8th St
Ste 103
Mission, TX 78572
Phone (956) 271-1030
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1033126636
-
- Internal Medicine Physician
- Katy, TX
- NPI 1861495541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262736000000",
"number": "1437346228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2511 EAST CORRAL AVE",
"city": "KINGSVILLE",
"state": "TX",
"postal_code": "783634101",
"telephone_number": "361-516-0097",
"fax_number": "361-516-0182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2511 E CORRAL AVE",
"city": "KINGSVILLE",
"state": "TX",
"postal_code": "783634101",
"telephone_number": "361-516-0097",
"fax_number": "361-516-0182"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUMBERTO R. BRUSCHETTA, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-26",
"last_updated": "2010-01-06",
"status": "A",
"authorized_official_last_name": "BRUSCHETTA",
"authorized_official_first_name": "HUMBERTO",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "361-516-0097",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, FACP"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "9634",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "079672401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1760437438",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.