Individual provider Active NPI

Choon Chan, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1619313293
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
690976 Issued in TX
Practice address
9514 Marshall PT
San Antonio, TX 78240-4048
Phone
(210) 290-1369
NPI assigned
May 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 690976 TX Primary

Addresses

Primary practice location

9514 Marshall PT
San Antonio, TX 78240-4048

Mailing address

9514 Marshall PT
San Antonio, TX 78240-4048

Other names 1

  • Choon-Bernard Chan Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131122000791 TX Practitioner - Nurse Practitioner 1355577388 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Carenow Urgent Care PLLCGroup PAC ID 3274808043, 71 clinicians

Practice addresses (Care Compare)

12840 W Interstate 10
Suite 101
San Antonio, TX 78249-2361
Phone (210) 817-8490

1347 E Court St
Seguin, TX 78155-5130
Phone (830) 443-9778

13909 Nacogdoches Rd
Suite 111
San Antonio, TX 78217-1296
Phone (210) 655-0100

160 Creekside Way
Suite 602
New Braunfels, TX 78130-6439
Phone (830) 387-5330

20210 Stone Oak Pkwy
Suite 101
San Antonio, TX 78258-7029
Phone (210) 481-9804

20780 US Hwy 281 N
Carenow
San Antonio, TX 78258-7501
Phone (210) 963-8455

4130 S New Braunfels Ave
Suite 112
San Antonio, TX 78223-1722
Phone (210) 290-9537

513 Cibolo Valley Dr
Suite 101
Cibolo, TX 78108-3676
Phone (210) 714-5600

5410 Broadway
San Antonio, TX 78209-5716
Phone (210) 998-6677

5755 NW Loop
410 Suite 102
San Antonio, TX 78238-1662
Phone (210) 963-8445

902 Kitty Hawk Rd
Suite 110
Universal City, TX 78148-3827
Phone (210) 659-0889

9234 N Loop 1604
Suite 110
San Antonio, TX 78249-2981
Phone (210) 257-0736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
690976TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Provider Group PLLC CurrentSince Aug 1, 2016 Accepting new patients
TMC Provider Group PLLC CurrentSince Aug 1, 2016 Accepting new patients
Methodist Carenow Urgent Care PLLC CurrentSince May 19, 2024 Accepting new patients
TMC Provider Group PLLC Current Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

9900 S Interstate 35
Austin, TX 78748
Phone (512) 291-5577

20780 US Highway 281 N
San Antonio, TX 78258
Phone (210) 963-8445

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

12840 W Interstate 10
Ste 101
San Antonio, TX 78249
Phone (210) 817-8490

23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617

1111 SE Military Dr
San Antonio, TX 78214
Phone (210) 927-5580

Organizations & group practices 4

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": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1619313293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9514 MARSHALL PT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9514 MARSHALL PT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404048",
            "telephone_number": "210-290-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "CHOON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-22",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "690976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHOON-BERNARD",
            "last_name": "CHAN",
            "credential": "FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.