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MR. CHARLES H BRAKHAGE PA-C
NPI 1578722195
Physician Assistant - Medical in San Antonio, TX

Active since June 09, 2008PECOS Enrolled
225 E SONTERRA BLVD STE 100, SAN ANTONIO, TX 78258(210) 496-7999(210) 494-1666 Get Directions Write a Review

NPPES record last updated: June 9, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Charles H Brakhage Pa-c NPPES

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

MR. CHARLES H BRAKHAGE PA-C (NPI 1578722195) is an individual medical provider in San Antonio, Texas, licensed in Texas (PA01399) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578722195
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. CHARLES H BRAKHAGECredential: PA-C
Location Address225 E SONTERRA BLVD STE 100San Antonio, TX 78258-3993
Mailing Address225 E Sonterra Blvd Ste 100San Antonio, TX 78258-3993 · (210) 496-7999 · Fax (210) 494-1666
Phone(210) 496-7999
Fax(210) 494-1666
Sole ProprietorNo
Enumeration DateJune 9, 2008
✔ NPI 1578722195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in TX · PA01399
225 E SONTERRA BLVD STE 100, San Antonio, TX 78258
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Charles H Brakhage Pa-c 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.

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 Charles Brakhage's NPI number?

The NPI number for Charles Brakhage is 1578722195. It was assigned to this individual provider in the NPPES registry on June 9, 2008.

Where is Charles Brakhage located?

Charles Brakhage practices at 225 E Sonterra Blvd Ste 100, San Antonio, TX 78258. The listed phone number is (210) 496-7999.

What is Charles Brakhage's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Charles Brakhage enrolled in Medicare?

Yes. Charles Brakhage is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Brakhage was last updated on June 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.