Charles Peter Anderson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E1801 Issued in TX

Practice address

900 Rebel Road Unit 900
Kyle, TX 78640

Phone

(512) 491-3730

Fax

(512) 268-9129

NPI assigned

Jul 3, 2006

Last updated

Nov 22, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1992735500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1804",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786671804",
            "telephone_number": "512-491-3730",
            "fax_number": "512-268-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 REBEL ROAD UNIT 900",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "78640",
            "telephone_number": "512-491-3730",
            "fax_number": "512-268-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CHARLES",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E1801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fidelis Eze Amadi, M.D.
• American Oncology Partners, P.a. (Lone Star Oncology)
• Nirav Amin, D.O.
• Brady E Anderson, M.D.
• Cara Noelle Anderson, MD
• Madelyn Andrade
• Alexandra Aponte, PHARMD, RPH
• Tristan Ardoin, RBT
• Jayla Rose Arellano I
• Amanda Jean Armstrong, RPHT, CPHT

• Family Medicine Physician in Kyle, TX
• Providers in Kyle, 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 Nov 22, 2021; 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.