Alfredo Lopez, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA13392 Issued in TX

Practice address

100 E Alton Gloor Blvd # a
Brownsville, TX 78526-3328

Phone

(956) 350-7000

NPI assigned

Jan 29, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Concord Radiology PLLCGroup PAC ID 8628332061, 217 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Regional Medical Center Hospital, Brownsville, TX, CCN 450662

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

• Concord Radiology PLLC

  • Diagnostic Radiology Physician
  • Lubbock, TX
  • NPI 1598260515
  Medicare reassignment Care Compare group
• Singleton Associates PA

  • Diagnostic Radiology Physician
  • Shenandoah, TX
  • NPI 1538107875
  Medicare reassignment

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

• Columbia Valley Healthcare System, L.P.

  dba Valley Regional Medical Center

  • General Acute Care Hospital
  • Brownsville, TX
  • NPI 1043267701
  Care Compare affiliation

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1821629726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 SABINAS ST",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785216966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E ALTON GLOOR BLVD # A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785263328",
            "telephone_number": "956-350-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ALFREDO",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lopez Pharmacy
• Maria F. Lopez Rodriguez, BCBA
• Esmeralda Lopez-Garcia
• Adriana Lopez, LPC
• Alfonso Lopez, AGACNP
• Ana Graciela Lopez
• Arnaldo Lopez
• Brenda Lopez
• Carolina Lopez
• Dylan Lopez, MD

• Physician Assistant in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.