CHARLES EDWARD BUCKLEY MD NPI 1134128051

NPI Information

  • NPI: 1134128051
  • Provider Name: CHARLES EDWARD BUCKLEY, MD
  • Classification: Radiology - 2085N0904X
  • Specialization: Nuclear Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4700 BERWYN HOUSE RD
    SUITE 102
    COLLEGE PARK, MD
    ZIP 20740
  • Phone: (301) 345-0406

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NPI Details

Charles Edward Buckley, MD is a nuclear radiology radiology in College Park, MD. The provider is a radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. Charles Edward Buckley, MD NPI is 1134128051. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4700 BERWYN HOUSE RD
SUITE 102
COLLEGE PARK, MD
ZIP 20740-474
Phone: (301) 345-0406
Fax: (301) 345-0409

The NPI 1134128051 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/21/2005 and was last updated on 3/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085N0904XRadiologyNuclear RadiologyMD25540DISTRICT OF COLUMBIANo
22085N0904XRadiologyNuclear Radiology019671VIRGINIANo
32085N0904XRadiologyNuclear RadiologyD16341MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1410117MEDICARE PINMARYLAND
20430630MEDICAIDDISTRICT OF COLUMBIA
3C88769MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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