MR. CHARLES JOHN SCHOEPHOERSTER PA-C NPI 1629264080

NPI Information

  • NPI: 1629264080
  • Provider Name: MR. CHARLES JOHN SCHOEPHOERSTER, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5190 W 120TH AVE
    BROOMFIELD, CO
    ZIP 80020
  • Phone: (855) 925-4733

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NPI Details

MR. Charles John Schoephoerster, PA-C is a medical physician assistant in Broomfield, CO. MR. Charles John Schoephoerster, PA-C NPI is 1629264080. 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:

5190 W 120TH AVE
BROOMFIELD, CO
ZIP 80020-332
Phone: (855) 925-4733

The NPI 1629264080 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/19/2007 and was last updated on 1/22/2020.

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
1363AM0700XPhysician AssistantMedical665COLORADOYes

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: 3/30/2025

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