Individual provider Active NPI

Charles A Popeney, D.O.

  • Neurology Physician
  • Sugar Land, TX
National Provider Identifier
1255375812
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
J2259 Issued in TX
Practice address
2655 Cordes Dr
Suite 110
Sugar Land, TX 77479-1353
Phone
(281) 980-2525
Fax
(281) 980-9344
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X J2259 TX Primary

Addresses

Primary practice location

2655 Cordes Dr
Suite 110
Sugar Land, TX 77479-1353

Mailing address

2655 Cordes Dr
Suite 110
Sugar Land, TX 77479-1353
Phone (281) 980-2525

Other identifiers 2

IdentifierTypeStateIssuer
00U97YOtherTXBLUECROSS/BLUESHIELD
136766605MedicaidTX

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
I20050722000618 TX Practitioner - Neurology 7810953213 Practice locations: Sugar Land, TX

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of North Texas HSC, College of Osteopathic Med, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15555 Creek Bend Dr
Suite 200
Sugar Land, TX 77478-3381
Phone (281) 980-2525

Hospital & facility affiliations

  • Houston Methodist Sugarland Hospital Hospital, Sugar Land, TX, CCN 450820
  • Memorial Hermann Sugar Land Hospital Hospital, Sugar Land, TX, CCN 450848
  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358
  • Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J2259TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fortbend Neurology PastSince Jun 25, 1966 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: charles.popeney.1@13131.direct.athenahealth.com

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.

Hospital & facility affiliations 4

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1255375812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 CORDES DR",
            "address_2": "SUITE 110",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791353",
            "telephone_number": "281-980-2525",
            "fax_number": "281-980-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 CORDES DR",
            "address_2": "SUITE 110",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791353",
            "telephone_number": "281-980-2525",
            "fax_number": "281-980-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPENEY",
        "first_name": "CHARLES",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "J2259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "00U97Y",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136766605",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.