MEDICARE: RALPH HAMILTON BROOKSHIRE III DO

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	208600000X	Surgery Physician	L9113	TX
2	2086S0129X	Vascular Surgery Physician	L9113	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528165594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RALPH HAMILTON BROOKSHIRE III DO

Provider Business Mailing Address
First Line	:	PO BOX 4199
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78502-4199
Country	:	US
Telephone Number	:	956-322-7662
Fax Number	:	956-338-5709

Provider Business Practice Location Address
First Line	:	2511 CORNERSTONE BLVD STE 2511
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-8463
Country	:	US
Telephone Number	:	956-322-7662
Fax Number	:	956-338-5709

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	08/28/2025

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