Organization Active NPI

Surgical Associates of Brownsville

  • Specialist
  • Brownsville, TX
National Provider Identifier
1669593836
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H7139 Issued in TX
Legal business name
SURGICAL ASSOCIATES OF BROWNSVILLE
Practice address
4770 N Expressway
Suite 204
Brownsville, TX 78526-4120
Phone
(956) 541-6320
Fax
(956) 541-7889
NPI assigned
Apr 3, 2007
Last updated
Sep 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Authorized official

Name
Dr. Carol Miriam Erwin, M.D.
Title
M.D.
Phone
(956) 541-6320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X H7139 TX Primary

Addresses

Primary practice location

4770 N Expressway
Suite 204
Brownsville, TX 78526-4120

Mailing address

4770 N Expressway
Suite 204
Brownsville, TX 78526-4120
Phone (956) 541-6320

Other identifiers 2

IdentifierTypeStateIssuer
126446703MedicaidTX
023367802MedicaidTX

National Provider Directory

National Provider Directory

Locations

4770 N Expressway
Ste 204
Brownsville, TX 78526
Phone (956) 372-4010

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1669593836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 N EXPRESSWAY",
            "address_2": "SUITE 204",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264120",
            "telephone_number": "956-541-6320",
            "fax_number": "956-541-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 N EXPRESSWAY",
            "address_2": "SUITE 204",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264120",
            "telephone_number": "956-541-6320",
            "fax_number": "956-541-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF BROWNSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "ERWIN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "MIRIAM",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "956-541-6320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H7139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126446703",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023367802",
            "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 Sep 17, 2012; 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.