Active NPI
Charles Richard Fox, LAT, ATC
- Specialist
- Burnet, TX
National Provider Identifier
1023074457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ATO772
- Practice address
- 1000 The Green Mile
Burnet, TX 78611 - Phone
- (512) 756-4501
- NPI assigned
- Apr 25, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ATO772 | TX | Primary |
Addresses
Primary practice location
1000 The Green Mile
Burnet, TX 78611
Mailing address
9920 County Road 210
Bertram, TX 78605
Phone (512) 355-3086
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATO772 | TX | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1023074457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9920 COUNTY ROAD 210",
"city": "BERTRAM",
"state": "TX",
"postal_code": "78605",
"telephone_number": "512-355-3086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 THE GREEN MILE",
"city": "BURNET",
"state": "TX",
"postal_code": "78611",
"telephone_number": "512-756-4501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "CHARLES",
"middle_name": "RICHARD",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "ATO772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burnet, TX
- Russell E Dubose, CRNA
- Dungarvin Texas, LLC (Sunset Community Residence)
- Dungarvin Texas, LLC (Highland Lakes Community Residence)
- Carie Danielle Fansler, APRN FNP-C
- Joseph Ferguson
- Charlotte Suzanne Fox, RN, MSN, ACNP-BC
- Charles Michael Franz, D.O.
- Gennisi LLC (Haven Birth & Wellness)
- Brooke Gilmore, PHD
- Melissa Davis Graham, M.S., LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.