NPIMap

Individual provider Active NPI

Brandon C Charles, MD

  • Obstetrics & Gynecology Physician
  • Coppell, TX
National Provider Identifier
1609833276
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
H6110 Issued in TX
Practice address
705 Main St
Coppell, TX 75019-4742
Phone
(972) 304-6400
Fax
(972) 304-6455
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X H6110 TX Primary

Addresses

Primary practice location

705 Main St
Coppell, TX 75019-4742

Mailing address

705 Main St
Coppell, TX 75019-4742
Phone (972) 304-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 2, 2016 through May 2, 2028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harris 4 Health, PLLC Past Accepting new patients
Medical & Surgical Clinic of Irving, P.a. Past Accepting new patients
US Anesthetic Services P a Past Accepting new patients
Lifestream Health Center PA Past Accepting new patients
Medical & Surgical Clinic of Irving, P.a. Obstetrics & Gynecology Past Accepting new patients
Physicians and Allied Health Professionals Group, PA Obstetrics & Gynecology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bcharles@direct.uspi.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1609833276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 MAIN ST",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194742",
            "telephone_number": "972-304-6400",
            "fax_number": "972-304-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 MAIN ST",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194742",
            "telephone_number": "972-304-6400",
            "fax_number": "972-304-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "BRANDON",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "H6110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

Verify at the official NPI Registry.