Organization Active NPI

Murphy MD Functional Medicine PLLC

  • Specialist
  • San Antonio, TX
National Provider Identifier
1255130423
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MURPHY MD FUNCTIONAL MEDICINE PLLC
Practice address
14800 San Pedro Ave Ste 204
San Antonio, TX 78232-3733
Phone
(210) 253-3313
NPI assigned
Mar 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Charles Murphy, MDNPI 1639178908
Title
Owner
Phone
(210) 269-8400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

14800 San Pedro Ave Ste 204
San Antonio, TX 78232-3733

Mailing address

14800 San Pedro Ave Ste 204
San Antonio, TX 78232-3733
Phone (210) 253-3313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250512001888 TX Part B Supplier - Clinic/Group Practice 2163949280 Receives reassigned benefits from 3 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1255130423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14800 SAN PEDRO AVE STE 204",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323733",
            "telephone_number": "210-253-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 SAN PEDRO AVE STE 204",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323733",
            "telephone_number": "210-253-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURPHY MD FUNCTIONAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-269-8400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.