Individual provider Active NPI

Priscila Marina Ibarra Becerra, MD

  • Family Medicine Physician
  • Edinburg, TX
National Provider Identifier
1770077760
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S9522 Issued in TX
Practice address
1200 S 10TH Ave
Edinburg, TX 78539-5516
Phone
(956) 292-0781
Fax
(956) 380-4012
NPI assigned
Jun 21, 2018
Last updated
Jun 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X S9522 TX Primary

Addresses

Primary practice location

1200 S 10TH Ave
Edinburg, TX 78539-5516

Mailing address

367 S Gulph Rd
King of Prussia, PA 19406-3121
Phone (956) 292-0781

Other practice location 1

7703 Floyd Curl Dr
San Antonio, TX 78229-3901
Phone (210) 358-3931

Other practice location 2

4001 S Sugar Rd Ste B
Edinburg, TX 78539-4707
Phone (956) 603-1515

Other practice location 3

306 E Main Ave Ste 5&6
Alton, TX 78573-6943
Phone (956) 424-7655

Other identifiers 1

IdentifierTypeStateIssuer
1O9093OtherTXPTAN

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
I20210506000199 TX Practitioner - Family Practice 3173932001 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S9522TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McAllen Hospitalist Group, PLLC Family Medicine CurrentSince Jul 1, 2021 Accepting new patients

Locations

367 S Gulph Rd
Kng of Prussa, PA 19406
Phone (610) 382-4422

306 E Main Ave
Ste 5
Alton, TX 78573
Phone (956) 424-7655

306 E Main Ave
Ste 56
Alton, TX 78573
Phone (956) 424-7655

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

1200 S 10th Ave
Edinburg, TX 78539
Phone (956) 292-0781

4001 S Sugar Rd
Ste B
Edinburg, TX 78539
Phone (956) 515-2233

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1770077760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S GULPH RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063121",
            "telephone_number": "956-292-0781",
            "fax_number": "956-380-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S 10TH AVE",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395516",
            "telephone_number": "956-292-0781",
            "fax_number": "956-380-4012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7703 Floyd Curl Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293901",
            "country_code": "US",
            "telephone_number": "210-358-3931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4001 S Sugar Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785394707",
            "country_code": "US",
            "telephone_number": "956-603-1515",
            "fax_number": "956-252-2017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "306 E Main Ave Ste 5&6",
            "address_purpose": "LOCATION",
            "city": "Alton",
            "state": "TX",
            "postal_code": "785736943",
            "country_code": "US",
            "telephone_number": "956-424-7655",
            "fax_number": "956-424-7049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBARRA BECERRA",
        "first_name": "PRISCILA",
        "middle_name": "MARINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S9522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "1O9093",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.