Brownsville Kidney Center LTD

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

BROWNSVILLE KIDNEY CENTER LTD

Practice address

2945 Central Blvd
Brownsville, TX 78520-8958

Phone

(956) 542-8094

Fax

(956) 542-0742

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Samuel T Wey

Title

VP Licensure&Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brownsville Renal Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

DaVita Brownsville Renal CenterCCN 452737

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Apr 15, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

20

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

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Dva Healthcare Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pearsall, TX
  • NPI 1194789859

  Member Of

  NPD member
• Isd Renal Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Akron, OH
  • NPI 1407992555

  Member Of

  NPD member

Locations

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Subramaniam Anandasivam, MD PA

  • Nephrology Physician
  • Brownsville, TX
  • NPI 1972560522

  Dialysis facility

  Care Compare affiliation Name & address match
• Paul-Moreau Bossous, M.D.

  • Nephrology Physician
  • Mission, TX
  • NPI 1487975439

  Dialysis facility

  Care Compare affiliation Name & address match
• Preston M Ukoli, M.D.

  • Nephrology Physician
  • Brownsville, TX
  • NPI 1962627026

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1962458562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPARTMENT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 CENTRAL BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208958",
            "telephone_number": "956-542-8094",
            "fax_number": "956-542-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNSVILLE KIDNEY CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP LICENSURE&CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1909533-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brownsville Renal Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brownsville Renal Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brownsville Healthcare Services, Inc
• Brownsville I.S.D.
• Brownsville Imaging Center, LLC
• Brownsville Infectious Disease PA
• Brownsville Kiddie Health Center
• Brownsville Long Term Care, LLC
• Brownsville Obstetrics and Gynecology Associates, PLLC
• Brownsville Pediatric Association
• Brownsville Pediatric Dentistry
• Brownsville Pediatric Hospitalist Care LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Brownsville, TX
• Providers in Brownsville, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.