Individual provider Active NPI

Douglas A Miesen, MD

  • Emergency Medicine Physician
  • Brownsville, TX
National Provider Identifier
1861489171
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
M1936 Issued in TX
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

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8N8137OtherTXBCBS
176289001MedicaidTX
176289002MedicaidTX

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
I20050909000946 TX Practitioner - Emergency Medicine 3971535923 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55752CAMDGeneral Practice Dentistry
C55752CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Wound Care PLLC Current Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Jan 1, 2018 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.

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

Verify at the official NPI Registry.