Active NPI
Antonio Carvalho Braga, MD
- Pediatrics Physician
- Victoria, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- Q7327
- Practice address
- 4304 N Laurent St
Victoria, TX 77901-2741 - Phone
- (361) 573-4313
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Q7327 | TX | Primary |
Addresses
Primary practice location
4304 N Laurent St
Victoria, TX 77901-2741
Mailing address
115 Medical Dr
Suite 208
Victoria, TX 77904-3102
Other practice location 1
115 Medical Dr
Suite 208
Victoria, TX 77904-3102
Phone (361) 579-0043
Other practice location 2
501 E Colorado St
Victoria, TX 77901-6025
Phone (361) 579-8300
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 |
|---|---|---|---|
| Q7327 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Employee Assistance Program Inc | Current | Accepting new patients | |
| Regional Employee Assistance Program Inc | Pediatrics | Current | Accepting new patients |
| Regional Employee Assistance Program Inc | Current | Accepting new patients | |
| Citizens Medical Center County of Victoria | Past | Accepting new patients | |
| Antonio C. Braga M.D., P.a. | Pediatrics | Past | Accepting new patients |
Locations
1602 E Houston St
Ste C
Beeville, TX 78102
Phone (361) 354-2900
501 E Colorado St
Victoria, TX 77901
Phone (361) 571-5283
115 Medical Dr
Ste 208
Victoria, TX 77904
Phone (361) 573-7900
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FBEDAD/Endpoint/FBEDAD
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Plastic Surgery Physician
- Corpus Christi, TX
- NPI 1568658227
-
- Pediatrics Physician
- Victoria, TX
- NPI 1245456714
-
- Cardiovascular Disease Physician
- Abilene, TX
- NPI 1073575585
-
- Internal Medicine Physician
- Victoria, TX
- NPI 1215999511
-
- Family Medicine Physician
- Corsicana, TX
- NPI 1649232984
Pediatrics
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598832000000",
"number": "1922040138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 MEDICAL DR",
"address_2": "SUITE 208",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779043102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4304 N LAURENT ST",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779012741",
"telephone_number": "361-573-4313"
}
],
"practiceLocations": [
{
"address_1": "115 Medical Dr",
"address_2": "Suite 208",
"address_purpose": "LOCATION",
"city": "Victoria",
"state": "TX",
"postal_code": "779043102",
"country_code": "US",
"telephone_number": "361-579-0043",
"fax_number": "361-576-9861",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 E Colorado St",
"address_purpose": "LOCATION",
"city": "Victoria",
"state": "TX",
"postal_code": "779016025",
"country_code": "US",
"telephone_number": "361-579-8300",
"fax_number": "361-579-8303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRAGA",
"first_name": "ANTONIO",
"middle_name": "CARVALHO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2020-08-31",
"certification_date": "2020-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "Q7327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.