Active NPI
Pediatrics and Neonatology, P.a.
- Pediatrics Physician
- Brownsville, TX
National Provider Identifier
1447432026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- E8070
- Legal business name
- PEDIATRICS AND NEONATOLOGY, P.A.
- Practice address
- 900 E Alton Gloor Blvd
Suite 7
Brownsville, TX 78526-3355 - Phone
- (956) 546-1689
- Fax
- (956) 546-1680
- NPI assigned
- Dec 5, 2007
- 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. Gloria Medina, M.D.
- Title
- President
- Phone
- (956) 546-1689
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | E8070 | TX | Primary |
Addresses
Primary practice location
900 E Alton Gloor Blvd
Suite 7
Brownsville, TX 78526-3355
Mailing address
900 E Alton Gloor Blvd
Suite 7
Brownsville, TX 78526-3355
Phone (956) 546-1689
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00EJ08 | Other | TX | BCBS |
| 112050302 | Medicaid | TX | |
| 112050301 | Medicaid | TX | |
| 8A6760 | Other | TX | BCBS |
National Provider Directory
National Provider DirectoryLocations
900 E Alton Gloor Blvd
Ste 7
Brownsville, TX 78526
Phone (956) 546-1689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271203200000",
"number": "1447432026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 E ALTON GLOOR BLVD",
"address_2": "SUITE 7",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785263355",
"telephone_number": "956-546-1689",
"fax_number": "956-546-1680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E ALTON GLOOR BLVD",
"address_2": "SUITE 7",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785263355",
"telephone_number": "956-546-1689",
"fax_number": "956-546-1680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRICS AND NEONATOLOGY, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-05",
"last_updated": "2010-04-14",
"status": "A",
"authorized_official_last_name": "MEDINA",
"authorized_official_first_name": "GLORIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "956-546-1689",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "TX",
"license": "E8070",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00EJ08",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112050302",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112050301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8A6760",
"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 Apr 14, 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.