Individual provider Active NPI

David C Champion, M.D.

  • Family Medicine Physician
  • Brownsville, TX
National Provider Identifier
1326046004
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K8095 Issued in TX
Practice address
861 Old Alice Rd
Brownsville, TX 78520-8551
Phone
(956) 547-5550
Fax
(956) 547-5551
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K8095 TX Primary

Addresses

Primary practice location

861 Old Alice Rd
Brownsville, TX 78520-8551

Mailing address

1901 S 24TH Ave
Edinburg, TX 78539-6533
Phone (956) 289-7000

Other identifiers 1

IdentifierTypeStateIssuer
138708613MedicaidTX

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
I20060314000243 TX Practitioner - Family Practice 9234146465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1901 S 24TH Ave
Edinburg, TX 78539-6533
Phone (956) 289-7000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tropical Texas Behavioral Health CurrentSince Jul 5, 2016 Accepting new patients
Tropical Texas Behavioral Health Family Medicine CurrentSince Jul 5, 2016 Accepting new patients
Tropical Texas Behavioral Health Past Accepting new patients
Idjagboro Healthcare and Medical Services Inc Family Medicine Past Accepting new patients

Locations

861 Old Alice Rd
Brownsville, TX 78520
Phone (956) 546-2230

1901 S 24th Ave
Edinburg, TX 78539
Phone (956) 289-7025

Interoperability endpoints

  • Direct secure messaging: tropicaltexasbehavioralhealthpc.davidchampion@144493.advancedmd-direct.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1326046004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S 24TH AVE",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396533",
            "telephone_number": "956-289-7000",
            "fax_number": "956-289-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 OLD ALICE RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208551",
            "telephone_number": "956-547-5550",
            "fax_number": "956-547-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPION",
        "first_name": "DAVID",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K8095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138708613",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.