NPIMap

Individual provider Active NPI

Charles H Smith, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Bryan, TX
National Provider Identifier
1659337608
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
J7377 Issued in TX
Practice address
2700 E 29TH St Ste 105
Bryan, TX 77802-2507
Phone
(979) 776-0750
Fax
(979) 774-0001
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X J7377 TX Primary

Addresses

Primary practice location

2700 E 29TH St Ste 105
Bryan, TX 77802-2507

Mailing address

2700 E 29TH St Ste 105
Bryan, TX 77802-2507
Phone (979) 776-0750

Other identifiers 1

IdentifierTypeStateIssuer
045024901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080603000646 TX Practitioner - Cardiac SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 1153491196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Thoracic Surgery, Vascular Surgery
Education
Texas a & M University System, HSC, College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph Regional Health CenterGroup PAC ID 5294727921, 141 clinicians

Practice addresses (Care Compare)

2700 E 29TH St
Suite 240
Bryan, TX 77802-2586
Phone (979) 690-4816

2801 Franciscan Dr
Bryan, TX 77802-2544
Phone (979) 776-2401

Hospital & facility affiliations

  • CHI St Joseph Health Regional Hospital Hospital, Bryan, TX, CCN 450011
  • Baylor Scott & White Medical Center- College Stati Hospital, College Station, TX, CCN 670088
  • Grimes St Joseph Health Center Hospital, Navasota, TX, CCN 451322
  • Burleson St Joseph Health Center Hospital, Caldwell, TX, CCN 451305
  • Physicians Centre,the Hospital, Bryan, TX, CCN 450834

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Coronary artery bypass graft (CABG)34
Leg revascularization (restoring blood flow)14
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph Regional Health Center Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jan 1, 2023 Accepting new patients
St Joseph Regional Health Center CurrentSince Jan 1, 2023 Accepting new patients
College Station Hospital LP Past Accepting new patients

Locations

2700 E 29th St
Ste 105
Bryan, TX 77802
Phone (409) 776-5631

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

2700 E 29th St
Ste 240
Bryan, TX 77802
Phone (409) 776-0750

Interoperability endpoints

  • Direct secure messaging: csmit120@yourcarecommunity.org
  • Direct secure messaging: csmith458454@direct.stlukeshealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1659337608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E 29TH ST STE 105",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022507",
            "telephone_number": "979-776-0750",
            "fax_number": "979-774-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E 29TH ST STE 105",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022507",
            "telephone_number": "979-776-0750",
            "fax_number": "979-774-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHARLES",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "J7377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045024901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.