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CHARLES BRADY HUMPHREY PA
NPI 1881874394
Physician Assistant in Texarkana, TX

Active since November 13, 2007PECOS EnrolledAccepts Medicare Assignment
1002 TEXAS BLVD STE 400, TEXARKANA, TX 75501(903) 838-5500(903) 838-7402 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 7, 2021, Sep 17, 2016 (2 updates tracked since 2016).

About Charles Brady Humphrey Pa NPPES

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

CHARLES BRADY HUMPHREY PA (NPI 1881874394) is an individual physician assistant in Texarkana, Texas, licensed in Texas (PA02592) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Christus St Michael Health System, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1881874394
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCHARLES BRADY HUMPHREYCredential: PA
Location Address1002 TEXAS BLVD STE 400Texarkana, TX 75501-5113
Mailing Address1002 Texas Blvd Ste 400Texarkana, TX 75501-5113 · (903) 838-5500 · Fax (903) 838-7402
Phone(903) 838-5500
Fax(903) 838-7402
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateNovember 13, 2007
Last NPPES UpdateJuly 28, 20252 updates tracked since enumeration
NPPES CertifiedJuly 28, 2025
✔ NPI 1881874394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA02592
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1002 TEXAS BLVD STE 400, Texarkana, TX 75501
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Other Identifiers 2

Medicaid297050101TX
Medicaid200515720AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles Brady Humphrey Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901840503
PECOS Enrollment IDI20050614001469
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
35 services35 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
34 services34 patients
Coronary artery bypass using vein or artery graft, 3 grafts 33519
A coronary artery bypass with 3 grafts is a surgery to improve blood flow to the heart. Veins or arteries from other parts of your body are used to bypass blocked coronary arteries. This helps to restore normal blood flow to the heart, reducing the risk of heart disease.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus St Michael Health System

Acute Care Hospitals · Texarkana, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450801
Location2600 St Michael DrTexarkana, TX 75503 · Bowie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier13 claims13 services$21.01 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims13 services$117.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

JAMES M HURLEY MD PA
Internal Medicine (Cardiovascular Disease)
1002 TEXAS BLVD STE 400
TEXARKANA, TX 75501
Bowie County (903) 838-5500
JOHN M STRAYHORN MD PA
Internal Medicine (Cardiovascular Disease)
1002 TEXAS BLVD STE 400
TEXARKANA, TX 75501
Bowie County (903) 794-3390
TITUS COUNTY HOSPITAL DISTRICT
Clinic/Center (Medical Specialty)
1002 TEXAS BLVD STE 400
TEXARKANA, TX 75501
Bowie County (903) 434-7071

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 Humphrey's NPI number?

The NPI number for Charles Humphrey is 1881874394. It was assigned to this individual provider in the NPPES registry on November 13, 2007.

Where is Charles Humphrey located?

Charles Humphrey practices at 1002 Texas Blvd Ste 400, Texarkana, TX 75501. The listed phone number is (903) 838-5500.

What is Charles Humphrey's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Charles Humphrey enrolled in Medicare?

Yes. Charles Humphrey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Charles Humphrey accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 7 other insurers list Charles Humphrey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Charles Humphrey affiliated with any hospitals?

According to CMS data, Charles Humphrey is affiliated with Christus St Michael Health System.

When was this NPI record last updated?

The NPPES record for Charles Humphrey was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.