Organization Active NPI

Brownsville Podiatric Wound Care and Surgery

  • Foot & Ankle Surgery Podiatrist
  • Brownsville, TX
National Provider Identifier
1720151392
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1452 Issued in TX
Legal business name
BROWNSVILLE PODIATRIC WOUND CARE AND SURGERY
Practice address
40 Marsella Blvd
Brownsville, TX 78521-7936
Phone
(956) 574-9733
Fax
(956) 574-9730
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Jannette Venegas
Title
Office Administrator
Phone
(956) 574-9733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 1452 TX Primary

Addresses

Primary practice location

40 Marsella Blvd
Brownsville, TX 78521-7936

Mailing address

5493 Rustic Manor Dr
Brownsville, TX 78526-3920
Phone (956) 574-9733

Other names 1

  • Brownsville Podiatric Wound Care and Surgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050915001156 TX Part B Supplier - Clinic/Group Practice 2567495989 Receives reassigned benefits from 1 practitioner
Practice locations: Brownsville, TX

National Provider Directory

National Provider Directory

Locations

40 Marsella Blvd
Brownsville, TX 78521
Phone (956) 504-1469

3104 International Blvd
#C
Brownsville, TX 78521
Phone (956) 504-3707

Practitioners & affiliated clinicians

Practitioners 5

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": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1720151392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5493 RUSTIC MANOR DR",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785263920",
            "telephone_number": "956-574-9733",
            "fax_number": "956-574-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MARSELLA BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785217936",
            "telephone_number": "956-574-9733",
            "fax_number": "956-574-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNSVILLE PODIATRIC WOUND CARE AND SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "VENEGAS",
        "authorized_official_first_name": "JANNETTE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "956-574-9733"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brownsville Podiatric Wound Care and Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brownsville Podiatric Wound Care and Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.