Texas Em-1 Medical Services, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

TEXAS EM-1 MEDICAL SERVICES, PA

Practice address

100A E Alton Gloor Blvd
Brownsville, TX 78526-3375

Phone

(956) 350-7000

NPI assigned

May 23, 2006

Last updated

Apr 29, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William Jernberg, MD

Title

President

Phone

(214) 712-2000

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory J Byrne, MD

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1043269384
  NPD (past)
• Juan Galvan, P.A.C.

  • Physician Assistant
  • Brownsville, TX
  • NPI 1659604619
  NPD (past)
• Jose Domingo Garcia, FNP

  • Nurse Practitioner
  • Kyle, TX
  • NPI 1972673770
  NPD (past)
• Chanse Hamilton, RN, FNP-BC

  • Nurse Practitioner
  • Corpus Christi, TX
  • NPI 1134146699
  NPD (past)
• Michael Heichen, MD

  • Emergency Medicine Physician
  • Edinburg, TX
  • NPI 1124048483
  NPD (past)
• Chandra E Irvin, APN

  • Nurse Practitioner
  • Burnet, TX
  • NPI 1568520864
  NPD (past)
• Jose A Lopez Jr., PA

  • Medical Physician Assistant
  • Edinburg, TX
  • NPI 1265660005
  NPD (past)
• Hortencia Luna-Gonzales, M.D.

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1417903956
  NPD (past)
• Van Steven Mask, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Temple, TX
  • NPI 1013967413
  NPD (past)
• David Henry Mitchell, PA

  • Physician Assistant
  • Killeen, TX
  • NPI 1720171846
  NPD (past)
• Darrel Morrison, NP

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1811132970
  NPD (past)
• Jacqueline Rockoff, PA-C

  • Physician Assistant
  • Brownsville, TX
  • NPI 1427320852
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1942255492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 MAIN ST",
            "address_2": "STE:5200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752014612",
            "telephone_number": "214-712-2000",
            "fax_number": "214-712-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100A E ALTON GLOOR BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785263375",
            "telephone_number": "956-350-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS EM-1 MEDICAL SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "JERNBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-712-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "364SE0003X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Emergency",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144091930",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Texas Covid Testing Site LLC
• Texas CPC Medical Inc.
• Texas Dental Sleep Services PLLC
• Texas Durable Medical Equipment, Inc
• Texas Em I Medical Services PA
• Texas Federal Wellness Center of Brownsville
• Texas Health Care Mobile Imaging (Texas Health Care Imaging)
• Texas Health Care Mobile Imaging (Texas Health Care Imaging)
• Texas Hearing Services Corporation
• Texas Medical Supplies

• Physician Assistant in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.