Individual provider Active NPI

Charles Cameron Binney

  • Physician Assistant
  • Bulverde, TX
National Provider Identifier
1619708989
Registry record updated Oct 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1650 Shepherds RNCH
Bulverde, TX 78163-5011
Phone
(956) 245-3785
NPI assigned
Aug 9, 2024
Last updated
Oct 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TX Primary

Addresses

Primary practice location

1650 Shepherds RNCH
Bulverde, TX 78163-5011

Mailing address

PO Box 5730
Belfast, ME 04915-5700
Phone (888) 402-7256

Other practice location 1

6704 Randolph Blvd
Live Oak, TX 78233-4222
Phone (210) 477-5151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793232000000",
    "number": "1619708989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5730",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155700",
            "telephone_number": "888-402-7256",
            "fax_number": "888-902-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 SHEPHERDS RNCH",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "781635011",
            "telephone_number": "956-245-3785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6704 Randolph Blvd",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "TX",
            "postal_code": "782334222",
            "country_code": "US",
            "telephone_number": "210-477-5151",
            "fax_number": "210-477-5152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BINNEY",
        "first_name": "CHARLES",
        "middle_name": "CAMERON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-09",
        "last_updated": "2026-10-29",
        "certification_date": "2026-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bulverde, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.