Thomas Brent Chodosh, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D6394 Issued in TX

Practice address

3933 Up River Rd
Corpus Christi, TX 78408-3020

Phone

(361) 882-1001

Fax

(361) 882-1040

NPI assigned

Aug 9, 2005

Reactivated

Mar 28, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

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.

• Humpal Physical Therapy, P.C.

  dba Humpal Physical Therapy & Sports Medicine Centers

  • Physical Therapist
  • Corpus Christi, TX
  • NPI 1871525287
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1801897483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3933 UP RIVER RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784083020",
            "telephone_number": "361-882-1001",
            "fax_number": "361-882-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3933 UP RIVER RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784083020",
            "telephone_number": "361-882-1001",
            "fax_number": "361-882-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHODOSH",
        "first_name": "THOMAS",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2007-07-11",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "D6394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164153201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Steele Chinnery, M.D.
• Melanie Chipman, FNP
• Kevin Chiu, M.D.
• Elizabeth L. Chmelik, MD
• Kimberly Ann Choda
• Sin Il Choi, ACUPUNCTURIST
• Choice Living Community
• Choice Living Community
• Tammy L Chopelas, OTR
• John Chovanec

• Family Medicine Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.