Charles H Brakhage, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA01399 Issued in TX

Practice address

225 E Sonterra Blvd Ste 100
San Antonio, TX 78258-3993

Phone

(210) 496-7999

Fax

(210) 494-1666

NPI assigned

Jun 9, 2008

Last updated

Jun 9, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13170/brand/1/csg/1/fhir/r4

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.

• Quiroz Adult Medicine Clinic PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1063431104
  NPD

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1578722195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E SONTERRA BLVD STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583993",
            "telephone_number": "210-496-7999",
            "fax_number": "210-494-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E SONTERRA BLVD STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583993",
            "telephone_number": "210-496-7999",
            "fax_number": "210-494-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAKHAGE",
        "first_name": "CHARLES",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA01399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brain Changers, LLC (LearningRx)
• Brain Coach LLC
• Brain Sentinel Diagnostic Services
• Brainwork Speech and Rehab, PLLC
• Richard G Brake, PSY.D.
• Michelle Brakhage
• Laurie Louise Bram, COTA
• James Walter Bramblett II, D.C.
• Michelle Brame Gunnin, LPC
• Cadence Bramlett

• Medical Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.