Individual provider Active NPI

Charles Brandon Close, D.O.

  • Emergency Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1235484437
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
P9176 Issued in TX
Practice address
2606 Hospital Blvd
Corpus Christi, TX 78405-1804
Phone
(361) 902-6762
NPI assigned
Jul 13, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X P9176 TX Primary

Addresses

Primary practice location

2606 Hospital Blvd
Corpus Christi, TX 78405-1804

Mailing address

2606 Hospital Blvd
Corpus Christi, TX 78405-1804
Phone (361) 902-6762

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
I20140728002043 TX Practitioner - Emergency Medicine 2163648130 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emcare RSN Emergency Physicians PLLCGroup PAC ID 8527245166, 14 clinicians

Practice addresses (Care Compare)

1500 S Dallas Pkwy
Celina, TX 75009-3495
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P9176TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dewitt Medical District CurrentSince Jul 3, 2014 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Jan 6, 2023 Accepting new patients
Emcare RSN Emergency Physicians PLLC Emergency Medicine CurrentSince May 1, 2025 Accepting new patients
Dewitt Medical District Emergency Medicine CurrentSince Jul 3, 2014 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Jan 6, 2023 Accepting new patients

Locations

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

300 SE John Jones Dr
Burleson, TX 76028
Phone (469) 409-1472

1500 S Dallas Pkwy
Celina, TX 75009
Phone (214) 947-8181

2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

13172 Highway 287
Haslet, TX 76052
Phone (682) 703-4410

113 W Main St
Kenedy, TX 78119
Phone (830) 583-0612

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

2831 George Bush Hwy
Richardson, TX 75082
Phone (469) 204-1000

401 W Campbell Rd
Richardson, TX 75080
Phone (940) 384-3535

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398988800000",
    "number": "1235484437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 HOSPITAL BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051804",
            "telephone_number": "361-902-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 HOSPITAL BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051804",
            "telephone_number": "361-902-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOSE",
        "first_name": "CHARLES",
        "middle_name": "BRANDON",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-13",
        "last_updated": "2014-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P9176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.