Individual provider Active NPI

Charles G Holmsten, M.D.

  • Adult Medicine Physician
  • Houston, TX
National Provider Identifier
1083728711
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
D6035 Issued in TX
Practice address
5895 S Braeswood Blvd
Houston, TX 77096
Phone
(713) 777-3131
Fax
(713) 270-8105
NPI assigned
Aug 19, 2006
Last updated
Jan 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X D6035 TX
Adult Medicine Physician 207QA0505X D6035 TX Primary

Addresses

Primary practice location

5895 S Braeswood Blvd
Houston, TX 77096

Mailing address

5895 S Braeswood Blvd
Houston, TX 77096
Phone (713) 777-3131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090511000338 TX Practitioner - Family Practice 7810045358 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX; Rosenberg, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Holmsten Family and Occupational MedicineGroup PAC ID 4789910530, 2 clinicians

Practice addresses (Care Compare)

1730 FM 2218 Rd
Suite 302
Rosenberg, TX 77471-5997
Phone (281) 633-0148

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Holmsten Family & Occupational Medicine CurrentSince Apr 8, 2019 Accepting new patients
Afterours Houston PA PastSince May 13, 2010 Accepting new patients

Locations

5895 S Braeswood Blvd
Houston, TX 77096
Phone (713) 777-3131

7545 S Braeswood Blvd
Houston, TX 77071
Phone (713) 777-3131

Practitioners & affiliated clinicians

Practitioners 1

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.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1083728711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5895 S BRAESWOOD BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77096",
            "telephone_number": "713-777-3131",
            "fax_number": "713-270-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5895 S BRAESWOOD BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77096",
            "telephone_number": "713-777-3131",
            "fax_number": "713-270-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMSTEN",
        "first_name": "CHARLES",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "TX",
            "license": "D6035",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "D6035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.