CHARLES K. PEIRCE, M.D., P.A. (NPI# 1033207618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033207618 |
| Entity Type | Organization |
| Organization Name | CHARLES K. PEIRCE, M.D., P.A. |
| Practice Address |
3201 University Dr E Suite 440 Bryan TX 77802-3475 |
| Practice Telephone | 9797318660 |
| Mailing Telephone | 9797318660 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2011-12-15 |
| Authorized Official Name | CHARLES KEVIN PEIRCE (PRESIDENT) |
| Authorized Official Telephone | 9797318660 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS PROVIDER NUMBER | 0088PV | 01 |
| TX | 126609005 | 05 | |
| TX | 200220601 | 05 | |
| TX | BLUE CROSS PROVIDER NUMBE | 00U13R | 01 |
| Street Address |
3201 UNIVERSITY DR E SUITE 440 |
| City | BRYAN |
| State | TX |
| Zip Code | 77802-3475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508863564 | Choice Health Services, Inc. | Home Health | 3201 University Dr E, Suite 475, Bryan, TX 77802-3475 | 2005-07-06 |
| 1447877345 | Bcs Eye Associates, Inc. | Ophthalmology | 3201 University Dr E, Bryan, TX 77802-3475 | 2020-06-26 |
| 1316562408 | Vicki Hoang Nhung Nguyen | Optometrist | 3201 University Dr E, Bryan, TX 77802-3475 | 2020-06-15 |
| 1851830111 | Mtr Treatment Corp | Substance Abuse Rehabilitation Facility | 3201 University Dr E, Suite 230, Bryan, TX 77802-3475 | 2017-02-20 |
| 1285082768 | Dcs Medical Pa | Clinic/Center | 3201 University Dr E, Suite 135, Bryan, TX 77802-3475 | 2016-05-25 |
| 1578921391 | Gretchen S. Noble, Psyd, Pllc | Clinic/Center | 3201 University Dr E, Suite 200, Bryan, TX 77802-3475 | 2016-02-08 |
| 1982079315 | Keri Leigh Moon | Physician Assistant | 3201 University Dr E, Ste 245, Bryan, TX 77802-3483 | 2015-12-10 |
| 1366813958 | Cynthia Shannon, Lmft, Pllc | Marriage & Family Therapist | 3201 University Dr E, Ste 200, Bryan, TX 77802-3475 | 2015-10-08 |
| 1972970531 | Brooke Martin Lpc Pllc | Community/Behavioral Health | 3201 University Dr E, Suite 200, Bryan, TX 77802-3475 | 2015-08-29 |
| 1386010676 | Charles Robert Ridley | Psychologist | 3201 University Dr E, Suite 200, Bryan, TX 77802-3475 | 2015-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
| 1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
| 1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
| 1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
| 1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
| 1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
| 1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
| 1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
| 1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
| 1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
| Find all providers in zip 77802 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699847509 | Young & Young Urology Associates | Urology | 1404 Bristol, Bryan, TX 77802 | 2006-11-15 |
| 1689745143 | Alan Keith Young | Urology | 1404 Bristol St, Bryan, TX 77802-1919 | 2006-11-13 |
| 1851405039 | St Joseph Physician Associates | Urology | 2601 Osler Blvd, Bryan, TX 77802-2516 | 2006-08-18 |
| 1790739167 | Kathy Ravanbakhsh | Urology | 2700 E 29th St Ste 100, Bryan, TX 77802-2507 | 2006-05-20 |
| 1881986982 | Evan Lacefield | Urology | 2700 E 29th St Ste 100, Bryan, TX 77802-2507 | 2011-05-07 |
| 1477759215 | Robin Rashmi Bhavsar | Urology | 2700 E 29th St, Suite 100, Bryan, TX 77802-2531 | 2007-06-26 |
| 1932270410 | Ralph Raymond Young Jr. | Urology | 1404 Bristol St, Bryan, TX 77802-1919 | 2006-11-13 |
| 1720161821 | Samuel Hills Harrison | Urology | 3201 University Dr E, Suite 370, Bryan, TX 77802-3475 | 2006-10-23 |
| 1437247004 | Brazos Valley Urology Associates | Urology | 3201 University Dr E, Suite 370, Bryan, TX 77802-3475 | 2006-10-10 |
| 1275621856 | Charles Kevin Peirce | Urology | 3201 University Dr E, Ste 370, Bryan, TX 77802-3475 | 2006-10-10 |
| Find all providers in BRYAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.