Individual provider Active NPI

Charis Durham, M.D.

  • Hematology & Oncology Physician
  • Bryan, TX
National Provider Identifier
1538547401
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
R6000 Issued in TX
Practice address
2215 E Villa Maria Rd Ste 110
Bryan, TX 77802-2585
Phone
(979) 776-2000
NPI assigned
May 12, 2015
Last updated
Aug 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10054290 TX
Hematology & Oncology Physician 207RH0003X R6000 TX Primary

Addresses

Primary practice location

2215 E Villa Maria Rd Ste 110
Bryan, TX 77802-2585

Mailing address

2215 E Villa Maria Rd Ste 110
Bryan, TX 77802-2585

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
I20180713000675 TX Practitioner - Internal MedicinePractitioner - Medical Oncology 7012299183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Medical Oncology
Education
Texas a & M University System, HSC, College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2435 Harvey Mitchell Pkwy S
College Station, TX 77845-5000
Phone (979) 776-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brazos Valley Hematology Oncology Associates, PA Single Specialty CurrentSince Aug 15, 2022 Accepting new patients
Brazos Valley Hematology Oncology Associates, PA CurrentSince Aug 15, 2022 Accepting new patients

Locations

2215 E Villa Maria Rd
Ste 110
Bryan, TX 77802
Phone (979) 776-2000

2435 Harvey Mitchell Pkwy S
College Station, TX 77845
Phone (979) 776-2000

2435 Harvey Mitchell Pkwy S
Ste 110
College Station, TX 77845

Interoperability endpoints

  • Direct secure messaging: csantini62798@direct.sw.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1538547401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 E VILLA MARIA RD STE 110",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 E VILLA MARIA RD STE 110",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022585",
            "telephone_number": "979-776-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "CHARIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-12",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10054290",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "R6000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.