CHARLES L. SECREST MD – NPI #1588695654
Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
CHARLES SECREST is an urologist located in FORT WORTH, TX. NPPES has assigned the NPI number 1588695654 to CHARLES SECREST on July 06, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 4 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.
The NPI profile was previously updated about 7 years ago on Jun 28, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLES SECREST below.
NPI Profile for
CHARLES L. SECREST
(about 20 years ago)
FORT WORTH, TX 76104 Phone: (817) 912-8570 Fax:
4 Other location(s):
Fort Worth, TX 76104
Phone: (817) 912-8570
Suite 5007
Longview, TX 75601-5500
Phone: (903) 315-4455
Fax: (903) 315-2466
Tyler, TX 75701
Phone: (903) 262-3900
Fax: (903) 262-3993
Tyler, TX 75701-1907
Phone: (903) 262-3900
Fax: (903) 262-3993
Identifiers for CHARLES SECREST
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | LA | 1694304 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 208800000X - Urology (Primary) |
MS | 11417 |
| 174400000X - Specialist |
MS | B29973 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
CHARLES SECREST is affiliated with the following medical group(s):
- HOSPITAL
- BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER FORT WORTH1400 EIGHTH AVE
FORT WORTH, TX 76104
- BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER FORT WORTH1400 EIGHTH AVE
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