Organization Active NPI

Edgar Reyna, MD, PA

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1992186324
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q4500 Issued in TX
Legal business name
EDGAR REYNA, MD, PA
Practice address
2270 Joe Battle Blvd Ste M
El Paso, TX 79938-2610
Phone
(915) 855-7000
NPI assigned
Jun 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Mr. Edgar Reyna, MD
Title
Owner
Phone
(915) 246-1008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Q4500 TX Primary

Addresses

Primary practice location

2270 Joe Battle Blvd Ste M
El Paso, TX 79938-2610

Mailing address

2270 Joe Battle Blvd Ste M
El Paso, TX 79938-2610
Phone (915) 855-7000

Other names 1

  • Border Regional Family Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160112001112 TX Part B Supplier - Clinic/Group Practice 4688976301 Receives reassigned benefits from 4 practitioners
Practice locations: El Paso, TX; San Elizario, 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
45D2176661Border Regional Family Medicine2270 Joe Battle Blvd Ste M, El Paso, TX 79938Certificate of waiverDec 18, 2027

National Provider Directory

National Provider Directory

Locations

2270 Joe Battle Blvd
Ste M
El Paso, TX 79938
Phone (915) 855-7000

2260 Joe Battle Blvd
Ste 101
El Paso, TX 79938

1111 Hawkins Blvd
Ste 4B
El Paso, TX 79925
Phone (915) 219-4246

2270 Joe Battle Blvd
Ste Mn
El Paso, TX 79938
Phone (915) 855-7000

11355 Montwood Dr
El Paso, TX 79936
Phone (915) 855-7000

1111 Hawkins Blvd
El Paso, TX 79925
Phone (915) 855-7000

Practitioners & affiliated clinicians

Practitioners 9

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": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1992186324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 JOE BATTLE BLVD STE M",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382610",
            "telephone_number": "915-855-7000",
            "fax_number": "915-855-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 JOE BATTLE BLVD STE M",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382610",
            "telephone_number": "915-855-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR REYNA, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "REYNA",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-246-1008",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q4500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Border Regional Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.