Active NPI
Robert C Brace, DPM
- Primary Podiatric Medicine Podiatrist
- McAllen, TX
National Provider Identifier
1528052156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 0548
- Practice address
- 533 Pecan Blvd
McAllen, TX 78501-2356 - Phone
- (956) 682-4187
- Fax
- (956) 682-9739
- NPI assigned
- Sep 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0548 | TX | |
| Sports Medicine Podiatrist | 213ES0000X | 0548 | TX | |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 0548 | TX | Primary |
| Foot Surgery Podiatrist | 213ES0131X | 0548 | TX |
Addresses
Primary practice location
533 Pecan Blvd
McAllen, TX 78501-2356
Mailing address
533 Pecan Blvd
McAllen, TX 78501-2356
Phone (956) 682-4187
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160138702 | Other | TX | MEDICAID DME |
| 127193403 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 548 | TX | MD | Health Educator |
| 0548 | TX | MD | Foot Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282867200000",
"number": "1528052156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 PECAN BLVD",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785012356",
"telephone_number": "956-682-4187",
"fax_number": "956-682-9739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 PECAN BLVD",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785012356",
"telephone_number": "956-682-4187",
"fax_number": "956-682-9739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRACE",
"first_name": "ROBERT",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-09",
"last_updated": "2010-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "0548",
"primary": false
},
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "TX",
"license": "0548",
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "TX",
"license": "0548",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "TX",
"license": "0548",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID DME",
"identifier": "160138702",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127193403",
"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 Aug 27, 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.