IC IMAGING OF BROWNSVILLE LLC (NPI# 1013006121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013006121 |
| Entity Type | Organization |
| Organization Name | IC IMAGING OF BROWNSVILLE LLC |
| Practice Address |
155 B Uptown Ave Brownsville TX 78520 |
| Practice Telephone | 9567391886 |
| Practice Fax Number | 9565465201 |
| Mailing Telephone | 9567391886 |
| Mailing Fax Number | 9565465201 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WILLIAM R MARTIN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8566310124 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G9769 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
155 B UPTOWN AVE |
| City | BROWNSVILLE |
| State | TX |
| Zip Code | 78520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090243 | Ridgewood Psychiatry Pllc | Psychiatry & Neurology | 832 Ridgewood St, Brownsville, TX 78520 | 2020-10-16 |
| 1144850520 | Hellen Rurangirwa Md Pa Pediatric Clinic | Pediatrics | 2648 W Alton Gloor, Brownsville, TX 78520 | 2020-01-24 |
| 1235698911 | South Texas Neurosurgery Associates | Neurological Surgery | 3475 W Alton Gloor Blvd Ste A, Brownsville, TX 78520 | 2019-03-13 |
| 1952884520 | Bianca Gonzalez | Physical Therapy Assistant | 4834 Beaver Pond Dr., Brownsville, TX 78520 | 2018-09-10 |
| 1871087775 | Ariana Quiroga | Durable Medical Equipment & Medical Supplies | 2776 W Alton Gloor Blvd Ste 3, Brownsville, TX 78520 | 2018-06-14 |
| 1134622863 | Ebony Center Pllc | Counselor | 2905 Central Blvd., Suite C, Brownsville, TX 78520 | 2018-03-08 |
| 1770083560 | Maria D Gaona | Registered Nurse | 2666 Laredo Rd, Brownsville, TX 78520 | 2018-02-18 |
| 1710496419 | T & B Espino Inc | Technician | 2226 Athens St, Brownsville, TX 78520 | 2017-09-25 |
| 1558891150 | Horizon Primary Home Care,inc | In Home Supportive Care | 556 W. Elizabeth St. Ste A, Brownsville, TX 78520 | 2017-06-15 |
| 1306377148 | Jessica Gutierrez | Nurse Practitioner | 2404 El Gusto St, Brownsville, TX 78520 | 2017-03-23 |
| Find all providers in zip 78520 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932363249 | Anant K Utturkar | Radiology | 100 Alton Gloor Blvd, Brownsville, TX 78521 | 2008-07-16 |
| 1881766657 | Maria Del Carmen Hawbecker | Radiology | 155 Uptown Ave Ste B, Brownsville, TX 78520-7568 | 2006-11-15 |
| 1932212594 | Saleem Zia Chughtai | Radiology | 14 Edgewater Pl, Brownsville, TX 78521-1420 | 2006-08-17 |
| 1235242009 | Eduardo Bautista | Radiology | 625 East Price Rd, Brownsville, TX 78521 | 2006-08-16 |
| 1487656062 | Clay Harold Padginton | Radiology | 100b Alton Gloor, Suite 250, Brownsville, TX 78526-0000 | 2005-08-12 |
| 1003258393 | Tx Radiology Medical Services Pa | Radiology | 100 E Alton Gloor Blvd, Brownsville, TX 78526-3328 | 2013-07-27 |
| 1215260559 | Provider Services of Texas LLC | Radiology | 100a E Alton Gloor Blvd, Brownsville, TX 78526-3375 | 2009-09-17 |
| 1184892697 | Brownsville Radiology PC | Radiology | 125 Simpson Rd, Brownsville, PA 15417-9624 | 2008-02-19 |
| 1457461709 | Utturkar & Associates | Radiology | 100 E Alton Gloor Blvd Ste A, Brownsville, TX 78526-3354 | 2006-08-30 |
| 1063425577 | Anant K Utturkar | Radiology | 100 E Alton Gloor Blvd, Brownsville, TX 78526-3328 | 2006-08-14 |
| Find all providers in BROWNSVILLE | ||||
| City | BROWNSVILLE |
| Zip Code | 78520 |
Please comment or provide details below to improve the information on IC IMAGING OF BROWNSVILLE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.