Organization Active NPI

PBC Medi Group LLC

  • Private Vehicle
  • El Paso, TX
National Provider Identifier
1518682467
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
PBC MEDI GROUP LLC
Practice address
121 Paragon LN Ste C
El Paso, TX 79912-6315
Phone
(915) 545-2525
Fax
(915) 544-0962
NPI assigned
Oct 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Gilberto Enriquez
Title
Manager
Phone
(915) 269-9150

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X
Private Vehicle 347C00000X Primary

Addresses

Primary practice location

121 Paragon LN Ste C
El Paso, TX 79912-6315

Mailing address

121 Paragon LN Ste C
El Paso, TX 79912-6315
Phone (915) 545-2525

National Provider Directory

National Provider Directory

Locations

121 Paragon Ln
Ste C
El Paso, TX 79912
Phone (915) 545-2525

4855 N Mesa St
Ste 106
El Paso, TX 79912

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1518682467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 PARAGON LN STE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126315",
            "telephone_number": "915-545-2525",
            "fax_number": "915-544-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 PARAGON LN STE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126315",
            "telephone_number": "915-545-2525",
            "fax_number": "915-544-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBC MEDI GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "ENRIQUEZ",
        "authorized_official_first_name": "GILBERTO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "915-269-9150"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.