Individual provider Active NPI

Charles T Stiles, M.D.

  • Emergency Medicine Physician
  • Temple, TX
National Provider Identifier
1851356406
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
J2984 Issued in TX
Practice address
2401 S 31St St
Temple, TX 76508-0001
Phone
(254) 724-2111
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X J2984 TX Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X J2984 TX

Addresses

Primary practice location

2401 S 31St St
Temple, TX 76508-0001

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Other identifiers 3

IdentifierTypeStateIssuer
137900003MedicaidTX
137900013MedicaidTX
00U55HOtherTXBCBS

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
I20041118001199 TX Practitioner - Emergency Medicine 2860484433 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical School at San Antonio, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Texas Emergency Physicians PLLCGroup PAC ID 8527420306, 195 clinicians

Practice addresses (Care Compare)

700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J2984TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Texas Emergency Physicians, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Brewster Emergency Medicine Associates PA Emergency Medicine CurrentSince Jan 25, 2020 Accepting new patients
Acute Care Specialists Emergency Medicine CurrentSince Jun 6, 2023 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Jan 29, 2020 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Jan 29, 2020 Accepting new patients
Heb Emergicare PA Emergency Medicine Past Accepting new patients

Locations

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

2600 N State Highway 118
Alpine, TX 79830
Phone (432) 837-0430

720 Hospital Dr
Andrews, TX 79714
Phone (432) 464-2200

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

13725 Northwest Blvd
Corpus Christi, TX 78410
Phone (361) 241-4243

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

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

1905 E State Highway 97
Jourdanton, TX 78026
Phone (210) 614-9603

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

323 E Hawkins Pkwy
Longview, TX 75605
Phone (903) 315-2000

811 S Washington Ave
Marshall, TX 75670
Phone (903) 315-1488

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Interoperability endpoints

  • Direct secure messaging: charles.stiles@direct.myteamcare.com

Organizations & group practices 8

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 2

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1851356406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765080001",
            "telephone_number": "254-724-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILES",
        "first_name": "CHARLES",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J2984",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": "J2984",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137900003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137900013",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00U55H",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.