NPIMap

Individual provider Active NPI

Charles Edward Neagle, M.D.

  • Orthopaedic Hand Surgery Physician
  • Carrollton, TX
National Provider Identifier
1114016839
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
J2706 Issued in TX
Practice address
4780 N Josey LN
Carrollton, TX 75010-4615
Phone
(972) 492-1334
Fax
(973) 492-5174
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X J2706 TX Primary

Addresses

Primary practice location

4780 N Josey LN
Carrollton, TX 75010-4615

Mailing address

4780 N Josey LN
Carrollton, TX 75010-4615
Phone (972) 492-1334

Other identifiers 6

IdentifierTypeStateIssuer
6484850003OtherTXMEDICARE NSC - EFFECT 02/01/2011
P00913358OtherTXMEDICARE RAILROAD - EFFECT 02/01/2011
TXB117510OtherTXMEDICARE PART B - EFFECT 02/01/2011
8B7876OtherTXBLUE CROSS BLUE SHIELD
8CR161OtherTXBCBS TX 02/01/2011
98971704MedicaidTX

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Metrocrest Orthopaedics & Sports Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dmccneagl@yourcarecommunity.org

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1114016839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 N JOSEY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104615",
            "telephone_number": "972-492-1334",
            "fax_number": "973-492-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 N JOSEY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104615",
            "telephone_number": "972-492-1334",
            "fax_number": "973-492-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAGLE",
        "first_name": "CHARLES",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "TX",
            "license": "J2706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC - EFFECT 02/01/2011",
            "identifier": "6484850003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD - EFFECT 02/01/2011",
            "identifier": "P00913358",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B - EFFECT 02/01/2011",
            "identifier": "TXB117510",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8B7876",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX 02/01/2011",
            "identifier": "8CR161",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98971704",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.