NPIMap

Organization Active NPI

Methodist Hospitals of Dallas

Doing business as Methodist Charlton Medical Center

  • General Acute Care Hospital
  • Dallas, TX
National Provider Identifier
1275592131
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
000142 Issued in TX
Legal business name
METHODIST HOSPITALS OF DALLAS
Doing business as
Methodist Charlton Medical Center
Methodist Southwest Medical Center
Practice address
3500 W Wheatland Rd
Dallas, TX 75237-3460
Phone
(214) 947-7777
NPI assigned
Mar 20, 2006
Last updated
Aug 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Authorized official

Name
Craig Allen Bjerke
Title
Executive VP & Cfo
Phone
(214) 947-4512

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU
General Acute Care Hospital 282N00000X 000142 TX Primary

Addresses

Primary practice location

3500 W Wheatland Rd
Dallas, TX 75237-3460

Mailing address

PO Box 911875
Dallas, TX 75391-1875
Phone (214) 947-7777

Other identifiers 2

IdentifierTypeStateIssuer
126679302MedicaidTX
126679303MedicaidTX

Other names 2

  • Methodist Charlton Medical Center Doing business as
  • Methodist Southwest Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030911000016 TX Part A Provider - Hospital 5294646451 Practice locations: Dallas, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275592131. Details of each certification follow.

Hospital certification: CCN 450723

Legal name
METHODIST HOSPITALS OF DALLAS
Doing business as
METHODIST CHARLTON MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1984
Last certification
Dec 12, 2014
Beds
285
Ownership / control type
Private (not for profit)
Organization structure
OtherNon-profit
Incorporated
Apr 18, 1935 in TX
Enrollment address
3500 W Wheatland Rd
Dallas, TX 75237-3460
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Methodist Charlton Medical CenterCCN 450723 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0481134Methodist Charlton Medical Center3500 W Wheatland Road, Dallas, TX 75237AccreditationFeb 27, 2027
45D0678621Methodist Charlton Medical Center3500 W Wheatland Road, Dallas, TX 75237AccreditationFeb 27, 2027
45D0682934Methodist Charlton Medical Center3500 West Wheatland Road, Dallas, TX 75237Certificate of waiverAug 31, 2026
45D2155497Methodist Charlton Medical Center3500 W Wheatland Rd, Dallas, TX 75237Provider-performed microscopySep 30, 2026

National Provider Directory

National Provider Directory
Tax ID family
Methodist Medical Cente10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3500 W Wheatland Rd
Ste 340
Dallas, TX 75237

Ownership & related parties

All disclosed owners & managing parties 34

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Amy Bodwell Individual W-2 Managing Employee Aug 29, 2011
John Oliphint Individual Corporate DirectorBoard Member Mar 23, 2021
John Patrick Faubion Individual Corporate DirectorDirector Nov 22, 2016
Larry Michael McKee Individual Corporate Director Jun 27, 2017
Keith Payne Boone Individual Corporate DirectorDirector Nov 22, 2016
Marcus Knight Individual Corporate DirectorBoard Member Mar 24, 2020
James Norris Individual Corporate DirectorBoard Member Mar 23, 2021
Julie Yarbrough Individual Corporate DirectorBoard Member Jun 23, 2009
David R McAtee Individual Corporate DirectorBoard Member Mar 26, 2013
Carol B Norton Individual Corporate DirectorBoard Member Mar 28, 2023
Brenda L Jackson Individual Corporate Director Sep 23, 2014
Bernard P Difiore Individual Corporate DirectorDirector Mar 22, 2016
Levi H Davis Individual Corporate DirectorBoard Member Jan 22, 2002
Pamela Stoyanoff Individual Corporate OfficerPresident & Coo - MHS Mar 1, 2007
Ruben L Velez Individual Corporate DirectorBoard Member Jan 23, 2001
Delia Jasso Individual Corporate DirectorBoard Member Mar 28, 2023
Methodist Hospitals of Dallas Organization, Dallas, TX 5% Or Greater Direct Ownership Interest Jul 1, 1984
Operational/Managerial Control Jul 1, 1984
Ronald Howard Ricks Individual Corporate DirectorBoard Member Mar 26, 2013
John R Candey Individual Corporate DirectorBoard Member Jan 27, 2009
Gerald Bright Individual Corporate DirectorBoard Member Mar 27, 2018
Yon Jorden Individual Corporate DirectorBoard Member Mar 28, 2023
Robert S Folsom Individual Corporate DirectorBoard Member Apr 21, 2008
Mae Helen Giddings Individual Corporate DirectorBoard Member Mar 24, 2020
Michael L Finch Individual Corporate DirectorBoard Member Mar 24, 2020
Robyn Doty Individual Corporate DirectorBoard Member Mar 25, 2022
Kenneth Govan Individual Corporate Director Mar 23, 2021
Ruben Saenz, Jr. Individual Corporate DirectorBoard Member Mar 28, 2023
Joseph B Fortson Individual Corporate DirectorBoard Member Oct 1, 1982
Timothy Griffy Individual Corporate DirectorBoard Member Mar 24, 2020
John M Willis Individual Corporate DirectorBoard Member Nov 1, 2022
Duncan T Fulton Individual Corporate DirectorBoard Member Apr 20, 2010
Craig Bjerke Individual Corporate OfficerChief Financial Officer Oct 1, 2018
W-2 Managing Employee Oct 17, 2016
Alan Walne Individual Corporate DirectorBoard Member Mar 28, 2023
James C Scoggin Individual Corporate OfficerChief Executive Officer - MHS Apr 22, 2019
Corporate DirectorBoard Member Apr 22, 2019
W-2 Managing EmployeeCeo-MHS Apr 22, 2019

Owners & managing parties with NPI records 11

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 11

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Methodist Dallas Medical CenterDallas, TX, CCN 450051 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jul 1, 1984
Jul 1, 1984
Methodist Mansfield Medical CenterMansfield, TX, CCN 670023 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Dec 1, 2006
Dec 1, 2006
Methodist Rehabilitation HospitalDallas, TX, CCN 673031 Hospital 5% Or Greater Direct Ownership Interest (68.25%) Jan 21, 2008
Methodist McKinney HospitalMcKinney, TX, CCN 670069 Hospital 5% Or Greater Direct Ownership Interest (46.5%) Jul 1, 2023
Methodist Hospital for SurgeryAddison, TX, CCN 670073 Hospital 5% Or Greater Indirect Ownership Interest (41%) Jul 1, 2023
Methodist Richardson Medical CenterRichardson, TX, CCN 450537 Hospital Operational/Managerial Control Oct 1, 2011
Methodist Richardson Medical CenterRichardson, TX, CCN 45S537 Hospital Operational/Managerial Control Oct 1, 2011
Methodist Midlothian Medical CenterMidlothian, TX, CCN 670300 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 10, 2018
Sep 10, 2018
Methodist Southlake Medical CenterSouthlake, TX, CCN 670132 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2021
Methodist Celina Medical CenterCelina, TX, CCN 670340 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jul 26, 2024
Jul 26, 2024
Forvis Mazars, LLPDesoto, TX, CCN 676492 Skilled nursing facility 5% Or Greater Direct Ownership Interest (51%)
Operational/Managerial Control
Adp of the SNF		 Nov 1, 2019
Apr 1, 2018
Mar 15, 2020

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 49

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 49

Affiliated clinicians 434

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 434

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1275592131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911875",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911875",
            "telephone_number": "214-947-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W WHEATLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373460",
            "telephone_number": "214-947-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST HOSPITALS OF DALLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "BJERKE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "EXECUTIVE VP & CFO",
        "authorized_official_telephone_number": "214-947-4512"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "000142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126679302",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126679303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Methodist Charlton Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Methodist Charlton Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Methodist Southwest Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.