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SPORTS AND FAMILY MEDICINE OF BOERNE PA
NPI 1033558028
Family Medicine - Sports Medicine in Boerne, TX

Active since June 23, 2013CLIA 45D2061423 · Waiver
136 OLD SAN ANTONIO RD, SUITE 406, BOERNE, TX 78006(830) 328-3559 Get Directions Write a Review

NPPES record last updated: June 23, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sports And Family Medicine Of Boerne Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPORTS AND FAMILY MEDICINE OF BOERNE PA (NPI 1033558028) is a healthcare organization registered as a sports medicine in Boerne, Texas and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through September 3, 2027 and lists Charles Woodrow Mccurley, President, as its authorized official.

NPPES Registry Identity

NPI1033558028
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameSPORTS AND FAMILY MEDICINE OF BOERNE PA
Location Address136 OLD SAN ANTONIO RD, SUITE 406Boerne, TX 78006-3413
Mailing Address136 Old San Antonio Rd, Suite 406Boerne, TX 78006-3413 · (830) 328-3559
Phone(830) 328-3559
Organization SubpartNo
Authorized OfficialCharles Woodrow MccurleyPresident · (830) 328-3559
Enumeration DateJune 23, 2013
✔ NPI 1033558028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in TX · N7720
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
136 OLD SAN ANTONIO RD, Boerne, TX 78006
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sports And Family Medicine Of Boerne Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Sports And Family Medicine Of Boerne PA, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Charles Mccurley, MD
Family Practice
NPI 1821390204
136 OLD SAN ANTONIO RD STE 406
Boerne, TX 78006
(830) 816-5800
✔ PECOS✔ Accepts Medicare0.1 mi
Wendy Mccurley, MD
Family Practice
NPI 1720380108
136 OLD SAN ANTONIO RD 406
Boerne, TX 78006
(830) 816-5800
✔ PECOS✔ Accepts Medicare0.1 mi
Mark Jung, M.D.
Family Practice
NPI 1528356565
905 N MAIN STE 105 STE 105
Boerne, TX 78006
(830) 816-5800
✔ PECOS✔ Accepts Medicare3.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2061423

Sports And Family Medicine Of Boerne · Boerne, TX
Active · expires Sep 3, 2027
CLIA Number45D2061423
Laboratory TypePhysician Office
Certificate Effective DateSeptember 4, 2025
Certificate Expiration DateSeptember 3, 2027
Laboratory DirectorDr. Charles W. Mccurley
Laboratory Phone(830) 816-5800
Laboratory LocationSports And Family Medicine Of Boerne905 N Main Street, Ste 105, Boerne, TX 78006
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sports And Family Medicine Of Boerne PA's NPI number?

The NPI number for Sports And Family Medicine Of Boerne PA is 1033558028. It was assigned to this organization in the NPPES registry on June 23, 2013.

Where is Sports And Family Medicine Of Boerne PA located?

Sports And Family Medicine Of Boerne PA is located at 136 Old San Antonio Rd Suite 406, Boerne, TX 78006. The listed phone number is (830) 328-3559.

What is Sports And Family Medicine Of Boerne PA's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Sports And Family Medicine Of Boerne PA enrolled in Medicare?

Yes. Sports And Family Medicine Of Boerne PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sports And Family Medicine Of Boerne PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Family Practice, reassign their Medicare billing to Sports And Family Medicine Of Boerne PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sports And Family Medicine Of Boerne PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2061423) is associated with this NPI, valid through September 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sports And Family Medicine Of Boerne PA was last updated on June 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.