Individual provider Active NPI

Chad Burch, PA-C

  • Physician Assistant
  • Kingwood, TX
National Provider Identifier
1750388294
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA04723 Issued in TX
Practice address
23330 US - 59
Suite 300
Kingwood, TX 77339
Phone
(281) 359-3223
Fax
(281) 359-2089
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA04723 TX Primary
Medical Physician Assistant 363AM0700X PA04723 TX

Addresses

Primary practice location

23330 US - 59
Suite 300
Kingwood, TX 77339

Mailing address

23330 Hwy 59 N Ste 300
Kingwood, TX 77339-4471
Phone (713) 409-9525

Other identifiers 3

IdentifierTypeStateIssuer
1750388294OtherTXTRICARE SOUTH
304423202MedicaidTX
8N0137OtherTXBCBS-TX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chad.burch.1@30157.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060315000597 TX Practitioner - Physician Assistant 1557378593 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA04723TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vytalus Medical Group, PLLC CurrentSince Jun 25, 2025 Accepting new patients
Stephen F Austin Community Health Center,Inc CurrentSince Apr 25, 2025 Accepting new patients
Stephen F. Austin Community Health Center, Inc. CurrentSince Apr 25, 2025 Accepting new patients
Bentford Drive Emergency Physicians, PLLC Emergency Medicine PastSince Aug 20, 2013 Accepting new patients
Abk Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Bayside Emergency Pyhsicians, LLP Emergency Medicine Past Accepting new patients

Locations

1111 W Adoue St
Alvin, TX 77511
Phone 2818241480 ext. 1594

10851 Scarsdale Blvd
Ste 160
Houston, TX 77089
Phone (281) 464-3780

18652 McKay Dr
Ste 100
Humble, TX 77338
Phone (281) 319-8300

23330 Highway 59 N
Ste 300
Kingwood, TX 77339
Phone (281) 319-8300

Interoperability endpoints

  • Direct secure messaging: chad.burch.1@14838.direct.athenahealth.com
  • Direct secure messaging: chad.burch.1@30157.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1750388294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23330 HWY 59 N STE 300",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394471",
            "telephone_number": "713-409-9525",
            "fax_number": "281-359-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23330 US - 59",
            "address_2": "SUITE 300",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "281-359-3223",
            "fax_number": "281-359-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCH",
        "first_name": "CHAD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04723",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA04723",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "1750388294",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304423202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-TX",
            "identifier": "8N0137",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chad.burch.1@30157.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "23330 US - 59",
            "address_2": "Suite 300",
            "city": "Kingwood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.