Percy-Charles Medical Center, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PERCY-CHARLES MEDICAL CENTER, P.A.

Practice address

2200 N Lee Trevino Dr Ste A3
El Paso, TX 79936-3419

Phone

(915) 594-2772

Fax

(915) 594-2774

NPI assigned

Apr 2, 2019

Organization subpart

No

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

Authorized official

Name

Marie Percy, M.D.NPI 1013966837

Title

Physician/ Owner

Phone

(915) 594-2772

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Marie Percy, M.D.

  • Family Medicine Physician
  • El Paso, TX
  • NPI 1013966837
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688774400000",
    "number": "1508328196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N LEE TREVINO DR STE A3",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363419",
            "telephone_number": "915-594-2772",
            "fax_number": "915-594-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N LEE TREVINO DR STE A3",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363419",
            "telephone_number": "915-594-2772",
            "fax_number": "915-594-2774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4402 Broadway Blvd Ste A9",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750438263",
            "country_code": "US",
            "telephone_number": "214-501-3049",
            "fax_number": "214-501-4346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERCY-CHARLES MEDICAL CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2023-07-08",
        "certification_date": "2023-07-08",
        "status": "A",
        "authorized_official_last_name": "PERCY",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICIAN/ OWNER",
        "authorized_official_telephone_number": "915-594-2772",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilia Rocio Perales, ATC, LAT
• Mary M Perales, LMT
• Diego Peralta Rojas, M.D.
• Jasmine Peralta, PA-C
• Max A. Peralta, M.D.
• Marie Percy, M.D.
• Veronica Perdomo, RN
• Bianca Marie Perdue, RN
• Erika Abigail Pereda, PSYD
• Lisa Pereira-Wookee, FNP

• Family Medicine Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.