Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Charles Nicolas Crain

Individual provider Diagnostic Radiology Physician · NPI 1245623859

Charles Nicolas Crain practises Diagnostic Radiology in Jbsa Lackland, Texas. Qualified in 2015, 11 years ago. Practices as a sole proprietor and works from 3 locations. Licensed in Illinois and Virginia.

Years since qualifying
11
Licensed in
IL, VA
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Phone: (210) 292-6255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4500 Memorial Dr, Belleville, IL 62226-5360 — (314) 362-7200
  • 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 — (210) 916-3160

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 0101261010 (VA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036179471 (IL)

Record details

NPI number1245623859
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 7, 2015
Last updated in NPPESOctober 29, 2026
Certification dateOctober 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations9 on file with Medicare

Other providers in Jbsa Lackland