Charles G. Briseno Sr., M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D3167 Issued in TX

Practice address

Suite 703 414 Navarro
San Antonio, TX 78205-2515

Phone

(210) 224-4811

Fax

(210) 224-8678

NPI assigned

Jan 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Charles G. Briseno Sr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1184694457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SUITE 703 414 NAVARRO",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052515",
            "telephone_number": "210-224-4811",
            "fax_number": "210-224-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE 703 414 NAVARRO",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052515",
            "telephone_number": "210-224-4811",
            "fax_number": "210-224-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISENO",
        "first_name": "CHARLES",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "D3167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "834022",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLES",
            "last_name": "BRISENO",
            "middle_name": "G.",
            "prefix": "DR.",
            "suffix": "SR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Aissa Ann Briseno
• Alexandria A Briseno
• Alexis Briseno
• Andrew John Briseno
• Carmen Briseno
• David L Briseno, MD
• Liliana Briseno
• Michael J Briseno, DDS
• Nicole Marie Briseno, LVN
• Martha Brisita

• Internal Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.