Individual provider Active NPI

Christopher Vera, DO

  • Family Medicine Physician
  • Waco, TX
National Provider Identifier
1760863153
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q9539 Issued in TX
Practice address
1600 Providence Dr
Attn: Traci Mitchell - Admn
Waco, TX 76707-2261
Phone
(254) 313-4200
Fax
(254) 313-4326
NPI assigned
Jun 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10054661 TX
Family Medicine Physician 207Q00000X Q9539 TX Primary

Addresses

Primary practice location

1600 Providence Dr
Attn: Traci Mitchell - Admn
Waco, TX 76707-2261

Mailing address

1600 Providence Dr
Attn: Traci Mitchell - Admn
Waco, TX 76707-2261
Phone (254) 313-4200

Other identifiers 1

IdentifierTypeStateIssuer
362939601OtherTXMEDICAID

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161004002926 TX Practitioner - Family Practice 3577851757 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 Providence Dr
Waco, TX 76707-2261
Phone (254) 313-4200

1800 Gurley LN
Waco, TX 76706-4025
Phone (254) 313-6000

409 W Adams Ave
Suite 200
Temple, TX 76501-4211
Phone (254) 899-8650

600 S 25TH St
Suite 115
Temple, TX 76504-5227
Phone (254) 899-8650

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10054661TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Texas Community Health Center Inc Current Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince May 3, 2017 Accepting new patients
Concord Medical Group PLLC CurrentSince May 3, 2017 Accepting new patients
Heart of Texas Community Health Center, Inc. Family Medicine CurrentSince May 3, 2018 Accepting new patients
Heart of Texas Community Health Center, Inc Family Medicine CurrentSince May 3, 2018 Accepting new patients

Locations

1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211

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

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

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

600 S 25th St
Ste 115
Temple, TX 76504
Phone (254) 899-8650

1600 Providence Dr
Waco, TX 76707
Phone (254) 313-4200

Organizations & group practices 5

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": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1760863153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 PROVIDENCE DR",
            "address_2": "ATTN: TRACI MITCHELL - ADMN",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767072261",
            "telephone_number": "254-313-4200",
            "fax_number": "254-313-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PROVIDENCE DR",
            "address_2": "ATTN: TRACI MITCHELL - ADMN",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767072261",
            "telephone_number": "254-313-4200",
            "fax_number": "254-313-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERA",
        "first_name": "CHRISTOPHER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10054661",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q9539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "362939601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.