MEDICARE: BRENDA MARCELA BRIONES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	T8180	TX
2	207R00000X	Internal Medicine Physician	T8180	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1245693803	OTHER	TX	CSHCN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245693803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA MARCELA BRIONES M.D.

Provider Business Mailing Address
First Line	:	903 W MARTIN ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78207-0903
Country	:	US
Telephone Number	:	210-358-3344
Fax Number	:	210-702-4683

Provider Business Practice Location Address
First Line	:	4502 MEDICAL DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-4402
Country	:	US
Telephone Number	:	210-358-4000
Fax Number	:	210-567-1976

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2016
Last Update Date	:	03/04/2026

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