DR. DAVID BARNES CARMACK JR. MD
NPI 1154017556
General Practice in Jbsa Ft Sam Houston, TX

Active since April 18, 2023PECOS Enrolled
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234(210) 916-1284 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 12, 2025, Aug 21, 2023, May 3, 2023 (3 updates tracked since 2023).

About Dr. David Barnes Carmack Jr. Md NPPES

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

DR. DAVID BARNES CARMACK JR. MD (NPI 1154017556) is an individual general practice provider in Jbsa Ft Sam Houston, Texas, licensed in Virginia (0101284625) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154017556
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. DAVID BARNES CARMACK JR.Credential: MD
Location Address3551 ROGER BROOKE DRJbsa Ft Sam Houston, TX 78234-4504
Mailing Address3551 Roger Brooke DrJbsa Ft Sam Houston, TX 78234-4504
Sole ProprietorNo
Enumeration DateApril 18, 2023
Last NPPES UpdateMarch 12, 20253 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
NPI 1154017556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in VA · 0101284625
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedMilitary Health Care ProviderTaxonomy 171000000X
3551 ROGER BROOKE DR, Jbsa Ft Sam Houston, TX 78234

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. David Barnes Carmack Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
3551 ROGER BROOKE DR, DEPARTMENT OF PEDIATRICS/ADOLESCENT MEDICINE
FORT SAM HOUSTON, TX 78234
Pediatrics (Pediatric Cardiology)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Pediatrics (Neonatal-Perinatal Medicine)
3551 ROGER BROOKE DR, NEONATOLOGY
FORT SAM HOUSTON, TX 78234
Nurse Practitioner (Primary Care)
3551 ROGER BROOKE DR, DEPARTMENT OF PEDIATRICS/ADOLESCENT MEDICINE
FORT SAM HOUSTON, TX 78234
Student in an Organized Health Care Education/Training Program
3551 ROGER BROOKE DR, MCHE/ME
FORT SAM HOUSTON, TX 78234
Student in an Organized Health Care Education/Training Program
3551 ROGER BROOKE DR, MCHE-QD(CREDS)
FORT SAM HOUSTON, TX 78234
Occupational Therapist
3551 ROGER BROOKE DR, MCHE-QD (CREDS)
FORT SAM HOUSTON, TX 78234
Internal Medicine (Infectious Disease)
3551 ROGER BROOKE DR, MCHE-QD, BLDG 3600
FORT SAM HOUSTON, TX 78234

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154017556, enumerated as an "individual" on April 18, 2023.

The provider is located at 3551 ROGER BROOKE DR JBSA FT SAM HOUSTON, TX 78234 and the phone number is (210) 916-1284.

General Practice with taxonomy code 208D00000X.