Organization Active NPI

Brownsville Infectious Disease PA

  • Infectious Disease Physician
  • Brownsville, TX
National Provider Identifier
1790130573
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
BROWNSVILLE INFECTIOUS DISEASE PA
Practice address
110 Uptown Ave Ste B
Brownsville, TX 78520-7563
Phone
(956) 525-7817
Fax
(956) 525-7800
NPI assigned
Apr 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Darlington Udeh, MDNPI 1184887697
Title
Owner/President
Phone
(956) 525-7817

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

110 Uptown Ave Ste B
Brownsville, TX 78520-7563

Mailing address

110 Uptown Ave Ste B
Brownsville, TX 78520-7563
Phone (956) 525-7817

Other identifiers 2

IdentifierTypeStateIssuer
N5444OtherTXSTATE LICENSE
3637977-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160714002126 TX Part B Supplier - Clinic/Group Practice 4183916950 Receives reassigned benefits from 5 practitioners
Practice locations: Brownsville, TX
O20190828003884 TX DME Supplier - Physician - Infectious Disease 4183916950 Practice locations: Brownsville, TX

National Provider Directory

National Provider Directory

Locations

110 Uptown Ave
Brownsville, TX 78520

Practitioners & affiliated clinicians

Practitioners 7

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": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1790130573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 UPTOWN AVE STE B",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785207563",
            "telephone_number": "956-525-7817",
            "fax_number": "956-525-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 UPTOWN AVE STE B",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785207563",
            "telephone_number": "956-525-7817",
            "fax_number": "956-525-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNSVILLE INFECTIOUS DISEASE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "UDEH",
        "authorized_official_first_name": "DARLINGTON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "956-525-7817",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "N5444",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3637977-01",
            "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 Apr 15, 2024; 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.