CHARLES EDWARD FLACK MD NPI 1497729727

NPI Information

  • NPI: 1497729727
  • Provider Name: CHARLES EDWARD FLACK, MD
  • Classification: Urology - 2088P0231X
  • Specialization: Pediatric Urology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10301 HAGEN RANCH RD
    SUITE C130
    BOYNTON BEACH, FL
    ZIP 33437
  • Phone: (561) 736-7313

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NPI Details

Charles Edward Flack, MD is a pediatric urology urology in Boynton Beach, FL. The provider is surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). Charles Edward Flack, MD NPI is 1497729727. 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:

10301 HAGEN RANCH RD
SUITE C130
BOYNTON BEACH, FL
ZIP 33437
Phone: (561) 736-7313
Fax: (561) 736-2309

The NPI 1497729727 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 2/14/2006 and was last updated on 3/24/2025.

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
12088P0231XUrologyPediatric Urology0101273176VIRGINIAYes
22088P0231XUrologyPediatric UrologyME59937FLORIDANo
32088P0231XUrologyPediatric UrologyTP103KENTUCKYNo

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
1204200OTHERFLORIDAAMERIGROUP
226943OTHERFLORIDAWELLCARE
3054273300MEDICAIDFLORIDA
4103690OTHERFLORIDAAVMED
52032607OTHERFLORIDAAETNA HMO
64611456OTHERFLORIDAAETNA NON-HMO
726943OTHERFLORIDASTAYWELL
85962OTHERFLORIDANHP
912475OTHERFLORIDABCBS
101755943OTHERFLORIDACIGNA

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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