Organization Active NPI

Medical Associates of Brownsville PA

  • Internal Medicine Physician
  • Brownsville, TX
National Provider Identifier
1912973108
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J9070 Issued in TX
Legal business name
MEDICAL ASSOCIATES OF BROWNSVILLE PA
Practice address
425 E Los Ebanos Blvd
Ste 100
Brownsville, TX 78520
Phone
(956) 546-3116
Fax
(956) 546-8793
NPI assigned
Feb 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Chris A. Tryka
Title
Billing Manager
Phone
(956) 546-3116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X J9070 TX Primary

Addresses

Primary practice location

425 E Los Ebanos Blvd
Ste 100
Brownsville, TX 78520

Mailing address

425 E Los Ebanos Blvd
Suite 100
Brownsville, TX 78520-8481
Phone (956) 546-3116

Other identifiers 2

IdentifierTypeStateIssuer
1912973108OtherNPI
080669701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041207000544 TX Part B Supplier - Clinic/Group Practice 5991775835 Receives reassigned benefits from 2 practitioners
Practice locations: Brownsville, TX; South Padre Island, TX

National Provider Directory

National Provider Directory

Locations

425 E Los Ebanos Blvd
Ste 104
Brownsville, TX 78520
Phone (956) 542-2520

425 E Los Ebanos Blvd
Ste 100
Brownsville, TX 78520
Phone (956) 546-3116

3808 Padre Blvd
South Padre Island, TX 78597
Phone (956) 546-3116

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1912973108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E LOS EBANOS BLVD",
            "address_2": "SUITE 100",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208481",
            "telephone_number": "956-546-3116",
            "fax_number": "956-546-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E LOS EBANOS BLVD",
            "address_2": "STE 100",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78520",
            "telephone_number": "956-546-3116",
            "fax_number": "956-546-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF BROWNSVILLE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "TRYKA",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "956-546-3116"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J9070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1912973108",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080669701",
            "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 Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.