Organization Active NPI

Charles W. Prochera, MD FCCP PA

  • Pulmonary Disease Physician
  • Keller, TX
National Provider Identifier
1952432965
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
F5706 Issued in TX
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

Updated by the provider on Nov 8, 2012

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)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X F5706 TX
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.