Organization Active NPI

Chronic Covid Care PLLC

  • Adult Medicine Physician
  • Austin, TX
National Provider Identifier
1699444083
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
CHRONIC COVID CARE PLLC
Practice address
1705 Juliet St Unit B
Austin, TX 78704-1422
Phone
(419) 464-2160
Fax
(855) 541-0844
NPI assigned
Sep 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Brannon Charles Duncan, MDNPI 1013114693
Title
Cmo / Co-Owner
Phone
(419) 464-2160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

1705 Juliet St Unit B
Austin, TX 78704-1422

Mailing address

1705 Juliet St Unit B
Austin, TX 78704-1422
Phone (419) 464-2160

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1699444083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 JULIET ST UNIT B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787041422",
            "telephone_number": "419-464-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 JULIET ST UNIT B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787041422",
            "telephone_number": "419-464-2160",
            "fax_number": "855-541-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRONIC COVID CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "BRANNON",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CMO / CO-OWNER",
        "authorized_official_telephone_number": "419-464-2160",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.