Charles Edwin Laurence, MD
Individual provider Active NPI Family Medicine Physician · Kingsland, TX
NPI 1285641001 · NPPES record last updated Apr 15, 2026
Key facts
- NPI
- 1285641001
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- G1943 (TX)
- Practice address
- PO Box 232
Kingsland, TX 78639-0232 - Phone
- (512) 736-1669
- NPI assigned
- Aug 2, 2006
- Reactivated
- Feb 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 25.12 of 100
- Quality
- 15
- Improvement activities
- 0
- Cost
- 63.74
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040525000747 | TX | Practitioner - Family Practice | 4284615485 |
Receives reassigned benefits from 1 practitioner Practice locations: Lockhart, TX |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles E. Laurence MD | Family Medicine | Past |
Accepting new patients |
Interoperability endpoints
- admin@charleselaurencemd.e-mdsdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G1943 | TX | Yes |
Addresses
Primary practice location
PO Box 232
Kingsland, TX 78639-0232
Mailing address
PO Box 232
Kingsland, TX 78639-0232
Phone (512) 736-1669
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 742237082 | Other | TX | TAX ID |
Other providers in Kingsland, TX
- Jaimie Michelle Ivey
- Connie Jackson
- John J Johnson III
- Razim Kapic
- Neal Goodwin Landry
- Christopher D Lavalley
- Alan E. Leifeste II
- Vineeth Reddy Lekkala
- Sara Lindley
- Llano County Hospital Authority
All providers in Kingsland, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.