Active NPI
Douglas A Miesen, MD
- Emergency Medicine Physician
- Brownsville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- M1936
- Practice address
- 100 E Alton Gloor Blvd
Brownsville, TX 78526-3328 - Phone
- (956) 350-7000
- NPI assigned
- Oct 3, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | M1936 | TX | Primary |
| Emergency Medicine Physician | 207P00000X | C55752 | CA |
Addresses
Primary practice location
100 E Alton Gloor Blvd
Brownsville, TX 78526-3328
Mailing address
2606 Rogers FRK
San Antonio, TX 78258-4607
Phone (210) 878-5569
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8N8137 | Other | TX | BCBS |
| 176289001 | Medicaid | TX | |
| 176289002 | Medicaid | TX |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55752 | CA | MD | General Practice Dentistry |
| C55752 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prestige Wound Care PLLC | Current | Accepting new patients | |
| Travis County Emergency Physicians PA | Emergency Medicine | Current | Accepting new patients |
Locations
7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305
2101 Pease St
Harlingen, TX 78550
Phone (956) 369-1100
1725 N Ed Carey Dr
Harlingen, TX 78550
Phone (956) 389-4382
2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050
11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020
3011 W Loop 1604 N
San Antonio, TX 78251
Phone (210) 598-5605
111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000
3333 Research Plz
San Antonio, TX 78235
Phone (210) 297-3000
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1962440933
-
- Wound Care Registered Nurse
- Harlingen, TX
- NPI 1124996509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1861489171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2606 ROGERS FRK",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584607",
"telephone_number": "210-878-5569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E ALTON GLOOR BLVD",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785263328",
"telephone_number": "956-350-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIESEN",
"first_name": "DOUGLAS",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-03",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "M1936",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "C55752",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8N8137",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "176289001",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "176289002",
"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 Sep 16, 2026; 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.