CHARLES H. FRAGA M.D. NPI 1487097002

NPI Information

  • NPI: 1487097002
  • Provider Name: CHARLES H. FRAGA, M.D.
  • Classification: Hospitalist - 208M00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4250 BETHEL RD
    OLIVE BRANCH, MS
    ZIP 38654
  • Phone: (901) 516-1290

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NPI Details

Charles H. Fraga, M.D. is a hospitalist in Olive Branch, MS. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. Charles H. Fraga, M.D. NPI is 1487097002. 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:

4250 BETHEL RD
OLIVE BRANCH, MS
ZIP 38654-737
Phone: (901) 516-1290
Fax: (901) 516-1220

The NPI 1487097002 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).

The enumeration date for this NPI number is 4/12/2013 and was last updated on 5/30/2024.

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
1207R00000XInternal Medicine55513TENNESSEENo
2207R00000XInternal Medicine25053MISSISSIPPINo
3208M00000XHospitalistMD55513TENNESSEENo
4208M00000XHospitalist25053MISSISSIPPIYes

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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