JASON DAVID TUCKER MD NPI 1689839813

NPI Information

  • NPI: 1689839813
  • Provider Name: JASON DAVID TUCKER, MD
  • Classification: Podiatrist - 213ES0000X
  • Specialization: Sports Medicine
  • Entity Type: Individual
  • Address: 12312 COPPER WAY
    SUITE 200
    CHARLOTTE, NC
    ZIP 28277
  • Phone: (980) 859-2340

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NPI Details

Jason David Tucker, MD is a sports medicine podiatrist in Charlotte, NC. Jason David Tucker, MD NPI is 1689839813. 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:

12312 COPPER WAY
SUITE 200
CHARLOTTE, NC
ZIP 28277-386
Phone: (980) 859-2340
Fax: (844) 830-8115

The enumeration date for this NPI number is 7/28/2008 and was last updated on 11/3/2016.

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
1208100000XPhysical Medicine & Rehabilitation0101249850VIRGINIANo
2213ES0000XPodiatristSports Medicine01109NORTH CAROLINAYes

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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