Charles Gregory, DO PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L7737 Issued in TX

Legal business name

CHARLES GREGORY, DO PA

Practice address

1500 Wildcat Dr Ste C
Portland, TX 78374-2826

Phone

(361) 643-9800

Fax

(361) 643-5112

NPI assigned

Mar 29, 2007

Last updated

Aug 11, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles Gregory, D.O.NPI 1477581221

Title

Owner

Phone

(361) 643-9800

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles C Gregory, DO PA

  • Family Medicine Physician
  • Portland, TX
  • NPI 1477581221
  Medicare reassignment Care Compare group NPD Authorized official
• Bonnie Harris, FNP

  • Pediatric Nurse Practitioner
  • Portland, TX
  • NPI 1740916808
  Medicare reassignment Care Compare group NPD
• Gloria Perales Solis, NP-C

  • Family Nurse Practitioner
  • Portland, TX
  • NPI 1265873095
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1952420804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WILDCAT DR STE C",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783742826",
            "telephone_number": "361-643-9800",
            "fax_number": "361-336-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WILDCAT DR STE C",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783742826",
            "telephone_number": "361-643-9800",
            "fax_number": "361-643-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES GREGORY, DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-643-9800",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L7737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX GROUP",
            "identifier": "0037MY",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179568401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carriage Inn Limited Partnership (Carriage Inn)
• CC Doctors Center Portland, PLLC (The Doctors Center Urgent Care)
• Alyssa Marie Ceja, PHARMACY TECH
• Jesus Cervantes, PTA
• Haidee Chapa, PTA
• Galo Efrain Chaves, R.PH.
• Christ Centered Counseling Services PLLC
• Kimberly Clanton
• Coastal Bend Physicians PLLC
• Coastal ER III, LLC (Physicians Premier Emergency Room)

• Family Medicine Physician in Portland, TX
• Providers in Portland, 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 Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.