CHARLES R ANTHONY M.D. NPI 1609821958

NPI Information

  • NPI: 1609821958
  • Provider Name: CHARLES R ANTHONY, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 13063 CORTEZ BLVD
    BROOKSVILLE, FL
    ZIP 34613
  • Phone: (352) 597-0016

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NPI Details

Charles R Anthony, M.D. is a diagnostic radiology radiology in Brooksville, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Charles R Anthony, M.D. NPI is 1609821958. 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:

13063 CORTEZ BLVD
BROOKSVILLE, FL
ZIP 34613-838
Phone: (352) 597-0016
Fax: (352) 597-8699

The enumeration date for this NPI number is 5/24/2006 and was last updated on 10/12/2015.

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
1174400000XSpecialist0042079FLORIDANo
22085R0202XRadiologyDiagnostic Radiology0042079FLORIDAYes

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
151202MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
2069376600MEDICAIDFLORIDA
3D56008MEDICARE UPINFLORIDA

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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