Active NPI
Charles J. Burch, M.D., P.a.
- Pulmonary Disease Physician
- San Antonio, TX
National Provider Identifier
1588843239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- K2657
- Legal business name
- CHARLES J. BURCH, M.D., P.A.
- Practice address
- 4458 Medical Dr Ste 505
San Antonio, TX 78229-3748 - Phone
- (210) 690-7400
- Fax
- (210) 690-7405
- NPI assigned
- Oct 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles J Burch, MD
- Title
- MD/Owner
- Phone
- (210) 690-7400
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | K2657 | TX | Primary |
Addresses
Primary practice location
4458 Medical Dr Ste 505
San Antonio, TX 78229-3748
Mailing address
4458 Medical Dr Ste 505
San Antonio, TX 78229-3748
Phone (210) 690-7400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160409201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
21 Spurs Ln
Ste 230B
San Antonio, TX 78240
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- San Antonio, TX
- NPI 1831196559
-
- Nurse Practitioner
- San Antonio, TX
- NPI 1003042573
-
- Critical Care Medicine Clinical Nurse Specialist
- San Antonio, TX
- NPI 1093953358
-
- Pulmonary Disease Physician
- Baytown, TX
- NPI 1477614303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644451200000",
"number": "1588843239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4458 MEDICAL DR STE 505",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293748",
"telephone_number": "210-690-7400",
"fax_number": "210-690-7405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4458 MEDICAL DR STE 505",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293748",
"telephone_number": "210-690-7400",
"fax_number": "210-690-7405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES J. BURCH, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-30",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A",
"authorized_official_last_name": "BURCH",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "210-690-7400",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "K2657",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160409201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Charles E. Baldwin MD
- Charles Elias Gutierrez PHD LLC
- Charles Elias Gutierrez,PHD,LLC
- Charles H Sargent, MD PA
- Charles H. Sargent, M.D., P.a.
- Charles Jeffreys,MD PA
- Charles Porter Andrews, M.D., P.a. (Charles P. Andrews, M.D., P.A.)
- Charles R Cervantes Jr MD PA
- Charles S. Ramon, LLC. (La Estrella Home Care)
- Charles T Gay MD PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.