Organization Active NPI

Miguel a Petrozzi MD PA

  • Pediatric Neurodevelopmental Disabilities Physician
  • Brownsville, TX
National Provider Identifier
1528291713
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Neurodevelopmental Disabilities PhysicianTaxonomy code 2080P0008X
License
M1290 Issued in TX
Legal business name
MIGUEL A PETROZZI MD PA
Practice address
4770 N Expressway # 83
Suite 102
Brownsville, TX 78526-4165
Phone
(956) 350-0779
Fax
(956) 350-3006
NPI assigned
Sep 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Authorized official

Name
Dr. Migueal A Petrozzi, MD
Title
Owner
Phone
(956) 459-1191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Neurodevelopmental Disabilities PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0008X M1290 TX Primary

Addresses

Primary practice location

4770 N Expressway # 83
Suite 102
Brownsville, TX 78526-4165

Mailing address

817 Santa Ana Ave
Rancho Viejo, TX 78575-9748
Phone (956) 459-1191

National Provider Directory

National Provider Directory

Locations

4770 N Expressway
Ste 102
Brownsville, TX 78526
Phone (956) 350-0779

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1528291713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 SANTA ANA AVE",
            "city": "RANCHO VIEJO",
            "state": "TX",
            "postal_code": "785759748",
            "telephone_number": "956-459-1191",
            "fax_number": "956-350-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 N EXPRESSWAY # 83",
            "address_2": "SUITE 102",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264165",
            "telephone_number": "956-350-0779",
            "fax_number": "956-350-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGUEL A PETROZZI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-03",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "PETROZZI",
        "authorized_official_first_name": "MIGUEAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-459-1191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "TX",
            "license": "M1290",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 14, 2016; 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.