NPIMap

Organization Active NPI

College Park Medicine,PA

  • Family Medicine Physician
  • Conroe, TX
National Provider Identifier
1295815959
Registry record updated Oct 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COLLEGE PARK MEDICINE,PA
Practice address
690 S Loop 336 W Ste 140
Conroe, TX 77304-3320
Phone
(936) 523-7041
Fax
(936) 523-7042
NPI assigned
Oct 17, 2006
Last updated
Oct 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2026

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

Authorized official

Name
Christopher Chapman, MDNPI 1164426888
Title
Provider
Phone
(936) 523-7041

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

690 S Loop 336 W Ste 140
Conroe, TX 77304-3320

Mailing address

690 S Loop 336 W Ste 140
Conroe, TX 77304-3320
Phone (936) 523-7041

Other practice location 1

5834 Louetta Rd Ste F
Spring, TX 77379-7884
Phone (832) 698-4291

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050413000255 TX Part B Supplier - Clinic/Group Practice 7113964966 Receives reassigned benefits from 16 practitioners
Practice locations: Spring, TX; Conroe, TX

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
45D2028799College Park Medicine, PA5834 Louetta Suite F, Spring, TX 77379Certificate of waiverAug 23, 2027
45D2179147College Park Medicine, PA Dba Conroe Family690 S Loop 336 W Ste 140, Conroe, TX 77304Certificate of waiverFeb 17, 2028

National Provider Directory

National Provider Directory

Locations

690 S Loop 336 W
Ste 140
Conroe, TX 77304
Phone (936) 523-7041

3115 College Park Dr
Ste 106
The Woodlands, TX 77384
Phone (936) 271-2555

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793232000000",
    "number": "1295815959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 S LOOP 336 W STE 140",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043320",
            "telephone_number": "936-523-7041",
            "fax_number": "936-523-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 S LOOP 336 W STE 140",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043320",
            "telephone_number": "936-523-7041",
            "fax_number": "936-523-7042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5834 Louetta Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773797884",
            "country_code": "US",
            "telephone_number": "832-698-4291",
            "fax_number": "832-698-4297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLLEGE PARK MEDICINE,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2026-10-29",
        "certification_date": "2026-10-29",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "936-523-7041",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.