Individual provider Active NPI

Dagoberto Martinez, M.D.FACOG,FASC

  • Obstetrics & Gynecology Physician
  • Brownsville, TX
National Provider Identifier
1689677171
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
F5297 Issued in TX
Practice address
95 E Price Rd BLDG a
Brownsville, TX 78521-3531
Phone
(956) 544-2001
Fax
(956) 546-4567
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X F5297 TX Primary

Addresses

Primary practice location

95 E Price Rd BLDG a
Brownsville, TX 78521-3531

Mailing address

95 E Price Rd BLDG a
Brownsville, TX 78521-3531
Phone (956) 544-2001

Other practice location 1

3855 Southmost Rd
Brownsville, TX 78521-4863
Phone (956) 544-2001

Other identifiers 4

IdentifierTypeStateIssuer
21169308513OtherTXBEECH ST
1351298-03MedicaidTX
07-00565OtherTXPHC/UHC
82G726OtherTXBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061011000117 TX Practitioner - Obstetrics/Gynecology 8729084975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1970
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Dagoberto Martinez, MdpaGroup PAC ID 2365438249, 2 clinicians

Practice addresses (Care Compare)

95 E Price Rd
BLDG a
Brownsville, TX 78521-3531
Phone (956) 544-2001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dagoberto Martinez, Mdpa Obstetrics & Gynecology CurrentSince Dec 15, 1980 Accepting new patients
Columbia Valley Healthcare System, L.P. Past Accepting new patients

Locations

95 E Price Rd
Bldg A
Brownsville, TX 78521
Phone (956) 504-6080

1076 E Los Ebanos Blvd
Brownsville, TX 78520
Phone (956) 544-2001

3855 Southmost Rd
Brownsville, TX 78521
Phone (956) 465-1193

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1689677171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 E PRICE RD BLDG A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213531",
            "telephone_number": "956-544-2001",
            "fax_number": "956-546-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 E PRICE RD BLDG A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213531",
            "telephone_number": "956-544-2001",
            "fax_number": "956-546-4567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3855 Southmost Rd",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785214863",
            "country_code": "US",
            "telephone_number": "956-544-2001",
            "fax_number": "956-546-4567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "DAGOBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.FACOG,FASC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "F5297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH ST",
            "identifier": "21169308513",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1351298-03",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHC/UHC",
            "identifier": "07-00565",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "82G726",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.