NPIMap

Individual provider Active NPI

Charles Gregory Cooper Jr., P.A.

  • Physician Assistant
  • Brownwood, TX
National Provider Identifier
1477543734
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA02722 Issued in TX
Practice address
2410 Crockett Dr Ste a
Brownwood, TX 76801-5981
Phone
(254) 879-4900
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA02722 TX Primary

Addresses

Primary practice location

2410 Crockett Dr Ste a
Brownwood, TX 76801-5981

Mailing address

PO Box 5409
Abilene, TX 79608-5409
Phone (325) 677-4904

Other practice location 1

560 N Judge Ely Blvd
Abilene, TX 79601-5556
Phone (325) 677-4904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081218000127 TX Practitioner - Physician Assistant 2769544220 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Stanford University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adult Medical Solutions PAGroup PAC ID 5799074993, 3 clinicians

Practice addresses (Care Compare)

2410 Crockett Dr
Suite a
Brownwood, TX 76801-5981
Phone (325) 643-5521

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.51 of 100Reported as group
Quality
63.02
Promoting interoperability
100
Improvement activities
40
Cost
65.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA02722TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network CurrentSince Jun 1, 2021 Accepting new patients
Texas Outpatient & Infusion Center CurrentSince Jul 1, 2025 Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients

Locations

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

2410 Crockett Dr
Ste B
Brownwood, TX 76801
Phone (325) 643-5695

300 E Commerce St
Brownwood, TX 76801
Phone (325) 510-3400

10201 Highway 16
Comanche, TX 76442
Phone (254) 879-4910

Interoperability endpoints

  • Direct secure messaging: ccoope07@yourcarecommunity.org
  • Direct secure messaging: charles.cooper.1@8863.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1477543734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5409",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796085409",
            "telephone_number": "325-677-4904",
            "fax_number": "325-677-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 CROCKETT DR STE A",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015981",
            "telephone_number": "254-879-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 N Judge Ely Blvd",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796015556",
            "country_code": "US",
            "telephone_number": "325-677-4904",
            "fax_number": "325-677-5214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CHARLES",
        "middle_name": "GREGORY",
        "name_suffix": "Jr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownwood, TX

Sources for this page

Verify at the official NPI Registry.