Charles Bryan Pool, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6386 Issued in TX

Practice address

1400 E Denman Avenue
Lufkin, TX 75901

Phone

(936) 632-6868

Fax

(936) 632-8436

NPI assigned

Mar 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chala Sports & Family Chiropractic

  • Chiropractor
  • Lufkin, TX
  • NPI 1962849299
  Medicare reassignment NPD

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1689634495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E DENMAN AVENUE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75901",
            "telephone_number": "936-632-6868",
            "fax_number": "936-632-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E DENMAN AVENUE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75901",
            "telephone_number": "936-632-6868",
            "fax_number": "936-632-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOL",
        "first_name": "CHARLES",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK",
            "identifier": "8248292",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001744401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Anthony Plowman, LVN
• Wendy Jo Plum, CRNA
• Point of Care Collaboratives,Inc PPC
• Linsie Elise Pollino, SLP-INTERN
• Jessica Suzanne Ponder
• Robin Pool
• Brittanie Porter, CRNA
• Melanie Potter, PA
• Dwaina Lynn Powell, LCDC
• Pratibha Deshpande MD PA

• Chiropractor in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.