Organization Active NPI

Carlos Campos MD PA

  • Primary Care Clinic/Center
  • New Braunfels, TX
National Provider Identifier
1346213675
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
F9273 Issued in TX
Legal business name
CARLOS CAMPOS MD PA
Practice address
189 E Austin St
Suite 102
New Braunfels, TX 78130-4104
Phone
(830) 629-8161
Fax
(830) 620-4908
NPI assigned
Feb 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Dr. Carlos Campos, M.D., M.P.H.NPI 1376730747
Title
President
Phone
(830) 629-8161

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
Primary Care Clinic/Center 261QP2300X F9273 TX Primary

Addresses

Primary practice location

189 E Austin St
Suite 102
New Braunfels, TX 78130-4104

Mailing address

189 E Austin St
Suite 102
New Braunfels, TX 78130-4104
Phone (830) 629-8161

Other identifiers 1

IdentifierTypeStateIssuer
1002917-01MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100527000504 TX Part B Supplier - Clinic/Group Practice 2567591613 Receives reassigned benefits from 5 practitioners
Practice locations: New Braunfels, 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
45D0713937Carlos Campos MD MPH189 East Austin Suite 102, New Braunfels, TX 78130Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

189 E Austin St
Ste 102
New Braunfels, TX 78130
Phone (830) 629-8161

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1346213675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 E AUSTIN ST",
            "address_2": "SUITE 102",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304104",
            "telephone_number": "830-629-8161",
            "fax_number": "830-620-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 E AUSTIN ST",
            "address_2": "SUITE 102",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304104",
            "telephone_number": "830-629-8161",
            "fax_number": "830-620-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS CAMPOS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "CAMPOS",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-629-8161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.P.H."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "F9273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002917-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.