Organization Active NPI

Express Occupational Medicine Clinic

  • General Practice Physician
  • Brownsville, TX
National Provider Identifier
1902537186
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
EXPRESS OCCUPATIONAL MEDICINE CLINIC
Practice address
3120 International Blvd
Brownsville, TX 78521-3214
Phone
(956) 504-7245
Fax
(956) 504-7237
NPI assigned
Jun 20, 2022
Last updated
Jun 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Authorized official

Name
Benito Gonzelez III
Title
President
Phone
(956) 504-7245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

3120 International Blvd
Brownsville, TX 78521-3214

Mailing address

3120 International Blvd
Brownsville, TX 78521-3214
Phone (956) 504-7245

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655683200000",
    "number": "1902537186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 INTERNATIONAL BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213214",
            "telephone_number": "956-504-7245",
            "fax_number": "956-504-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 INTERNATIONAL BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213214",
            "telephone_number": "956-504-7245",
            "fax_number": "956-504-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS OCCUPATIONAL MEDICINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A",
        "authorized_official_last_name": "GONZELEZ",
        "authorized_official_first_name": "BENITO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-504-7245",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.