Individual provider Active NPI

Charles W Anderson, MD

  • Family Medicine Physician
  • La Grange, TX
National Provider Identifier
1265546808
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H2924 Issued in TX
Practice address
890 E Travis St
La Grange, TX 78945-2348
Phone
(979) 968-2000
Fax
(979) 968-2001
NPI assigned
Aug 19, 2006
Last updated
Jun 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X H2924 TX
Family Medicine Physician 207Q00000X H2924 TX Primary

Addresses

Primary practice location

890 E Travis St
La Grange, TX 78945-2348

Mailing address

753 E Travis St
La Grange, TX 78945-2353
Phone (979) 968-6596

Other practice location 1

700 Medical Pkwy
Brenham, TX 77833-5413
Phone (979) 337-5000

Other identifiers 3

IdentifierTypeStateIssuer
P00219910OtherTXRRMCR
8K6580OtherTXBCBS
138508017MedicaidTX

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
I20031107000274 TX Practitioner - Emergency MedicinePractitioner - Family Practice 4880507649 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tejas Health CareGroup PAC ID 1153470067, 6 clinicians

Practice addresses (Care Compare)

185 Decker Dr
Giddings, TX 78942-1451
Phone (979) 542-6500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tejas Health Care Family Medicine CurrentSince Jan 20, 2025 Accepting new patients
Scott & White Clinic Emergency Medicine Current Accepting new patients
Victoria Emergency Partners LLC Emergency Medicine CurrentSince Jun 5, 2017 Accepting new patients
Tejas Health Care CurrentSince Jan 20, 2025 Accepting new patients
Integrative Emergency Services Physician Group PA Emergency Medicine CurrentSince Dec 15, 2014 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Lone Star Emergency Associates LLC Emergency Medicine CurrentSince Nov 1, 2023 Accepting new patients
Scott & White Clinic Emergency Medicine CurrentSince Mar 1, 2015 Accepting new patients
Texas Emergency Group LLC Emergency Medicine CurrentSince Oct 15, 2021 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Nov 24, 2023 Accepting new patients
Scott & White Clinic Emergency Medicine CurrentSince Mar 1, 2015 Accepting new patients
Memorial Southeast Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Texas Emergency Room Services, PA Emergency Medicine Past Accepting new patients
Leatherland Emergency Physicians PLLC Emergency Medicine Past Accepting new patients

Locations

44 N Cummings St
Bellville, TX 77418
Phone (979) 413-7400

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

700 Medical Pkwy
Brenham, TX 77833
Phone (979) 337-5000

1280 Arrington Rd
Ste 200
College Station, TX 77845
Phone (979) 207-6550

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

3500 Gaston Ave
Dallas, TX 75246

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

1 Saint Marks Pl
La Grange, TX 78945
Phone (979) 242-2102

753 E Travis St
La Grange, TX 78945
Phone (979) 968-2000

890 E Travis St
La Grange, TX 78945
Phone (979) 968-2000

200 W Ollie St
Llano, TX 78643
Phone (325) 216-9199

1602 Avenue Q
Lubbock, TX 79401
Phone (469) 312-5137

810 W Highway 71
Marble Falls, TX 78654
Phone (830) 201-7100

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

400 Youens Dr
Weimar, TX 78962
Phone (409) 725-9531

1200 Carl Ramert Dr
Yoakum, TX 77995
Phone (361) 293-2321

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: smmcander@yourcarecommunity.org

Organizations & group practices 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1265546808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 E TRAVIS ST",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789452353",
            "telephone_number": "979-968-6596",
            "fax_number": "979-968-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 E TRAVIS ST",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789452348",
            "telephone_number": "979-968-2000",
            "fax_number": "979-968-2001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Medical Pkwy",
            "address_purpose": "LOCATION",
            "city": "Brenham",
            "state": "TX",
            "postal_code": "778335413",
            "country_code": "US",
            "telephone_number": "979-337-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CHARLES",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "H2924",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H2924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR",
            "identifier": "P00219910",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8K6580",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138508017",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, TX

Sources for this page

Verify at the official NPI Registry.