Active NPI
Charles W. Prochera, MD FCCP PA
- Pulmonary Disease Physician
- Keller, TX
National Provider Identifier
1952432965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- F5706
- Legal business name
- CHARLES W. PROCHERA, MD FCCP PA
- Practice address
- 816 Keller Pkwy
Ste 102
Keller, TX 76248-2479 - Phone
- (817) 337-0036
- Fax
- (817) 337-0053
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles W Prochera, MD
- Title
- President
- Phone
- (817) 337-0036
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | F5706 | TX | |
| Pulmonary Disease Physician | 207RP1001X | F5706 | TX | Primary |
Addresses
Primary practice location
816 Keller Pkwy
Ste 102
Keller, TX 76248-2479
Mailing address
816 Keller Parkway
Ste 102
Keller, TX 76248-2479
Phone (817) 337-0036
Other names 1
- Pulmonary & Critical Care Medicine
National Provider Directory
National Provider DirectoryLocations
2014 Ben Merritt Dr
Ste C
Decatur, TX 76234
Phone (940) 627-1968
1643 Lancaster Dr
Ste 20
Grapevine, TX 76051
Phone (972) 831-3995
6750 N MacArthur Blvd
Ste 206D
Irving, TX 75039
Phone (972) 831-3995
816 Keller Pkwy
Ste 302
Keller, TX 76248
Phone (817) 253-4128
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Green Bay, WI
- NPI 1619903218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352332800000",
"number": "1952432965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "816 KELLER PARKWAY",
"address_2": "STE 102",
"city": "KELLER",
"state": "TX",
"postal_code": "762482479",
"telephone_number": "817-337-0036",
"fax_number": "817-337-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "816 KELLER PKWY",
"address_2": "STE 102",
"city": "KELLER",
"state": "TX",
"postal_code": "762482479",
"telephone_number": "817-337-0036",
"fax_number": "817-337-0053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES W. PROCHERA, MD FCCP PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2012-11-08",
"status": "A",
"authorized_official_last_name": "PROCHERA",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "817-337-0036",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "TX",
"license": "F5706",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "F5706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pulmonary & Critical Care Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Keller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.