Individual provider Active NPI

Christopher Brancker

  • Emergency Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1679928576
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R6348 Issued in TX
Practice address
2606 Hospital Blvd
5 West
Corpus Christi, TX 78405-1833
Phone
(361) 902-6762
NPI assigned
Apr 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X R6348 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2606 Hospital Blvd
5 West
Corpus Christi, TX 78405-1833

Mailing address

2606 Hospital Blvd
5 West
Corpus Christi, TX 78405-1833
Phone (361) 902-6762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180822000496 TX Practitioner - Emergency Medicine 5395094510 Reassigns benefits to 3 organizations
I20190719000743 OH Practitioner - Emergency Medicine 5395094510 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mahoning Valley Emergency Specialists LLCGroup PAC ID 5698758993, 26 clinicians
Mves Boardman LLCGroup PAC ID 4688694722, 36 clinicians

Practice addresses (Care Compare)

1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (240) 686-2300

8401 Market St
Boardman, OH 44512-6725
Phone (240) 686-2300

Hospital & facility affiliations

  • HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064

Merit-based Incentive Payment System (MIPS)

Final score
86.8 of 100Reported as group
Quality
79.54
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.13 of 100Reported as group
Quality
78.7
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R6348TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mves Austintown LLC Emergency Medicine CurrentSince Jun 15, 2019 Accepting new patients
Mahoning Valley Emergency Specialists LLC Emergency Medicine CurrentSince Jun 15, 2019 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Sep 21, 2018 Accepting new patients
Mves Boardman LLC Emergency Medicine CurrentSince Jun 15, 2019 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Sep 21, 2018 Accepting new patients
Guadalupe Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jul 30, 2018 Accepting new patients

Locations

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

6252 Mahoning Ave
Youngstown, OH 44515
Phone (330) 792-7418

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

3349 S Highway 181
Kenedy, TX 78119
Phone (830) 583-3401

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.

Hospital & facility affiliations 3

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": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1679928576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 HOSPITAL BLVD",
            "address_2": "5 WEST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051833",
            "telephone_number": "361-902-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 HOSPITAL BLVD",
            "address_2": "5 WEST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051833",
            "telephone_number": "361-902-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCKER",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-28",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R6348",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.