Chara De'Andre Brown, PA-C
Individual provider Active NPI Physician Assistant · Bastrop, TX
NPI 1679891717 · NPPES record last updated Nov 12, 2015
Key facts
- NPI
- 1679891717
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA05997 (TX)
- Practice address
- 201 Childers Dr
109
Bastrop, TX 78602-4154 - Phone
- (512) 321-3430
- NPI assigned
- May 13, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Davids Carenow Urgent Care PLLC
Practice addresses (Care Compare)
10625 W Parmer LN
Suite D400
Austin, TX 78717-4016
Phone (512) 361-6085
1205 S Interstate 35
Georgetown, TX 78626-5410
Phone (512) 942-2535
12415 N
Suite 35
Austin, TX 78753-1326
Phone (737) 205-1270
4810 Gattis School Rd
Suite 100
Hutto, TX 78634-2037
Phone (512) 312-7230
5033 W Hwy 290
Carenow
Austin, TX 78735-6751
Phone (512) 265-8980
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120912000849 | TX | Practitioner - Physician Assistant | 1658529847 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA05997 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sai Medical Group,P.a | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA05997 | TX | Yes |
Addresses
Primary practice location
201 Childers Dr
109
Bastrop, TX 78602-4154
Mailing address
201 Childers Dr
109
Bastrop, TX 78602-4154
Phone (512) 321-3430
Other providers in Bastrop, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.