Organization Active NPI

BTX Premier Urology PA

  • Urology Physician
  • Brownsville, TX
National Provider Identifier
1962274977
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
BTX PREMIER UROLOGY PA
Practice address
800 W Jefferson St Ste 170
Brownsville, TX 78520-6300
Phone
(956) 255-5010
Fax
(956) 255-5011
NPI assigned
Oct 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
Kenneth A Ewane, MDNPI 1992056048
Title
Owner/President
Phone
(956) 255-5010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

800 W Jefferson St Ste 170
Brownsville, TX 78520-6300

Mailing address

PO Box 4948
Brownsville, TX 78523-4948
Phone (956) 255-5010

Other practice location 1

597 W Sesame Dr Ste F
Harlingen, TX 78550-8770
Phone (956) 428-4535

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240301001741 TX Part B Supplier - Clinic/Group Practice 1254776156 Receives reassigned benefits from 3 practitioners
Practice locations: Harlingen, TX; Brownsville, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2299653BTX Premier Urology PA800 W Jefferson St Ste 170, Brownsville, TX 78520Certificate of waiverFeb 22, 2028

National Provider Directory

National Provider Directory

Locations

800 W Jefferson St
Ste 170
Brownsville, TX 78520
Phone (956) 255-5010

Practitioners & affiliated clinicians

Practitioners 3

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": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1962274977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4948",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785234948",
            "telephone_number": "956-255-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W JEFFERSON ST STE 170",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785206300",
            "telephone_number": "956-255-5010",
            "fax_number": "956-255-5011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "597 W Sesame Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785508770",
            "country_code": "US",
            "telephone_number": "956-428-4535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BTX PREMIER UROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "EWANE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "956-255-5010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "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 Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.