Ricardo Abdom Abraham, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M2892 Issued in TX

Practice address

3125 W Alton Gloor Blvd
Brownsville, TX 78520-3506

Phone

(956) 544-5700

Fax

(956) 350-9573

NPI assigned

Aug 25, 2005

Last updated

Aug 29, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Ricardo a Abraham Mdpa

  • Internal Medicine Physician
  • Brownsville, TX
  • NPI 1740417716
  Medicare reassignment NPD Authorized official
• Ricardo a. Abraham, Mdpa

  • Allergy & Immunology (Internal Medicine) Physician
  • Brownsville, TX
  • NPI 1568697134
  NPD (past) Authorized official
• Juan Diego Gonzalez MD PA

  dba West Alton Gloor Medical

  • Internal Medicine Physician
  • Brownsville, TX
  • NPI 1023702255
  NPD

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1831182815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 W ALTON GLOOR BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785203506",
            "telephone_number": "956-544-5700",
            "fax_number": "956-350-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 W ALTON GLOOR BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785203506",
            "telephone_number": "956-544-5700",
            "fax_number": "956-350-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "RICARDO",
        "middle_name": "ABDOM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M2892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE NUMBER",
            "identifier": "M2892",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS REGISTRATION",
            "identifier": "A0143954",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abelardo Anesthesia Services PC
• Ability Primary Care LLC
• Ability Rehab LLC
• Ability Rehab,LLC
• Abisa DME LLC
• Vanessa Abraham, PT
• Abrazos Con Care Provider Services, LLC.
• Abundant Life Home Health, Inc.
• Access Vision Lab
• Accion Rehab Inc

• Internal Medicine Physician in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.