DR. CHARLES DOUGLAS CRUMPLER M.D. NPI 1801881230

NPI Information

NPI: 1801881230
Provider Name: DR. CHARLES DOUGLAS CRUMPLER, M.D.
Classification: Internal Medicine - 207RE0101X
Entity Type: Individual

Specialization: Endocrinology, Diabetes & Metabolism

PECOS Registration: Yes

Address:
2308 E VILLA MARIA RD
SUITE 100
BRYAN, TX
ZIP 77802
Phone: (979) 776-0200
Get Directions

DR. Charles Douglas Crumpler, M.D. is an endocrinology and diabetes and metabolism internal medicine in Bryan, TX. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. DR. Charles Douglas Crumpler, M.D. NPI is 1801881230. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2308 E VILLA MARIA RD
SUITE 100
BRYAN, TX
ZIP 77802-549
Phone: (979) 776-0200
Fax: (979) 776-0400

The NPI 1801881230 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/12/2005 and was last updated on 7/5/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	M0046	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	M0046	OTHER	TEXAS	STATE LICENSE
2	I31932	MEDICARE UPIN	TEXAS
3	1739724	MEDICAID	TEXAS
4	00930Y	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	GROUP NUMBER
5	8F0253	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	PROVIDER NUMBER
6	1739732	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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