NPIMap

Individual provider Active NPI

Carmen Purl, M.D.

  • Family Medicine Physician
  • Sunray, TX
National Provider Identifier
1710987102
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
HO730 Issued in TX
Practice address
110 E. 4TH
Sunray, TX 79086
Phone
(806) 948-1459
NPI assigned
Jul 28, 2005
Last updated
Jul 12, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X HO730 TX Primary

Addresses

Primary practice location

110 E. 4TH
Sunray, TX 79086

Mailing address

PO Box 97
Sunray, TX 79086-0097

Other identifiers 3

IdentifierTypeStateIssuer
100809100OtherTXFIRST CARE
0067KCOtherTXBLUE CROSS BLUE SHIELD
131132607MedicaidTX

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
I20100505000691 TX Practitioner - Family Practice 8224166624 Reassigns benefits to 1 organization
Practice locations: Sunray, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carmen Purl MD PLLCGroup PAC ID 9032453766, 3 clinicians

Practice addresses (Care Compare)

1524 Guy Lane PLZ
Dumas, TX 79029-5542
Phone (806) 948-1459

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
HO730TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carmen Purl MD PLLC CurrentSince Sep 24, 2018 Accepting new patients
Medical Care Enterprises PLLC Family Medicine CurrentSince Mar 24, 2023 Accepting new patients
Stratford Hospital District Family Medicine Past Accepting new patients

Locations

1524 Guy Lane Plz
Dumas, TX 79029
Phone (806) 948-1459

725 S Bliss Ave
Dumas, TX 79029
Phone (806) 452-1032

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Stratford Family Medical ClinicStratford, TX, CCN 673938 Rural health clinic W-2 Managing Employee (5%)
Operational/Managerial Control (5%)		 Mar 29, 2010
Mar 29, 2010
Complete Family Care by Jynna Ulrich PA-CDumas, TX, CCN 678927 Rural health clinic Corporate Director
W-2 Managing Employee		 Mar 24, 2023
Mar 23, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1710987102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "SUNRAY",
            "state": "TX",
            "postal_code": "790860097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E. 4TH",
            "city": "SUNRAY",
            "state": "TX",
            "postal_code": "79086",
            "telephone_number": "806-948-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURL",
        "first_name": "CARMEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "HO730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "100809100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0067KC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131132607",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunray, TX

Sources for this page

Verify at the official NPI Registry.