Sports and Family Medicine of Boerne PA

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

N7720 Issued in TX

Legal business name

SPORTS AND FAMILY MEDICINE OF BOERNE PA

Practice address

136 Old San Antonio Rd
Suite 406
Boerne, TX 78006-3413

Phone

(830) 328-3559

NPI assigned

Jun 23, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles Woodrow McCurley IV, MDNPI 1821390204

Title

President

Phone

(830) 328-3559

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12476/brand/1/csg/1/fhir/r4

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Woodrow McCurley IV, MD

  • Family Medicine Physician
  • Boerne, TX
  • NPI 1821390204
  Medicare reassignment Care Compare group Authorized official
• Mark A Jung, M.D.

  • Family Medicine Physician
  • Boerne, TX
  • NPI 1528356565
  Medicare reassignment Care Compare group NPD
• Wendy Peet McCurley, MD

  • Family Medicine Physician
  • Boerne, TX
  • NPI 1720380108
  Medicare reassignment Care Compare group
• Leighan C Brown, PA-C

  • Medical Physician Assistant
  • Boerne, TX
  • NPI 1801222195
  Medicare reassignment
• Lindsey Cardone, PA-C

  • Physician Assistant
  • Boerne, TX
  • NPI 1366847220
  Medicare reassignment
• Kirsten Fikes, PA-C

  • Medical Physician Assistant
  • San Antonio, TX
  • NPI 1760737126
  NPD (past)
• Courtney A Miller, P.A.-C

  • Physician Assistant
  • Virginia Beach, VA
  • NPI 1912297821
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371945600000",
    "number": "1033558028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 OLD SAN ANTONIO RD",
            "address_2": "SUITE 406",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063413",
            "telephone_number": "830-328-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 OLD SAN ANTONIO RD",
            "address_2": "SUITE 406",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063413",
            "telephone_number": "830-328-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS AND FAMILY MEDICINE OF BOERNE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-23",
        "last_updated": "2013-06-23",
        "status": "A",
        "authorized_official_last_name": "MCCURLEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "WOODROW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-328-3559",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "N7720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Soyars, P.A.-C
• Pamela Diane Spaulding, R.PH.
• Speech Pathways Therapy Center LLC
• Jennifer Louise Spencer, LCDC
• Jessica Leigh Spires
• Sports Medicine Associates of San Antonio, PA
• William Ray Sprayberry, D.D.S., M.S.D.
• Benjamin Adam Stahl, M.D.
• Karlee Stahl, APRN, CPNP-PC
• Angela Stanley, PTA

• Sports Medicine (Family Medicine) Physician in Boerne, TX
• Providers in Boerne, TX by specialty
• Sports Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2013; 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.

Verify at the official NPI Registry.