Active NPI
Charles K. Peirce, M.D., P.a.
- Urology Physician
- Bryan, TX
National Provider Identifier
1033207618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- CHARLES K. PEIRCE, M.D., P.A.
- Practice address
- 3201 University Dr E
Suite 440
Bryan, TX 77802-3475 - Phone
- (979) 731-8660
- NPI assigned
- Oct 10, 2006
- Last updated
- Dec 15, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Kevin Peirce, M.D.
- Title
- President
- Phone
- (979) 731-8660
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | NU | Primary |
Addresses
Primary practice location
3201 University Dr E
Suite 440
Bryan, TX 77802-3475
Mailing address
3201 University Dr E
Suite 440
Bryan, TX 77802-3475
Phone (979) 731-8660
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200220601 | Medicaid | TX | |
| 126609005 | Medicaid | TX | |
| 0088PV | Other | TX | BLUE CROSS PROVIDER NUMBER |
| 00U13R | Other | TX | BLUE CROSS PROVIDER NUMBE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3201 University Dr E
Ste 440
Bryan, TX 77802
Phone (979) 731-8660
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Urology Physician
- Bryan, TX
- NPI 1275621856
-
- Family Medicine Physician
- College Station, TX
- NPI 1013979913
-
- Sports Medicine (Family Medicine) Physician
- Waco, TX
- NPI 1194794537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323907200000",
"number": "1033207618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 UNIVERSITY DR E",
"address_2": "SUITE 440",
"city": "BRYAN",
"state": "TX",
"postal_code": "778023475",
"telephone_number": "979-731-8660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 UNIVERSITY DR E",
"address_2": "SUITE 440",
"city": "BRYAN",
"state": "TX",
"postal_code": "778023475",
"telephone_number": "979-731-8660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES K. PEIRCE, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-10",
"last_updated": "2011-12-15",
"status": "A",
"authorized_official_last_name": "PEIRCE",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "KEVIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "979-731-8660",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200220601",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126609005",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NUMBER",
"identifier": "0088PV",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NUMBE",
"identifier": "00U13R",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.