Active NPI
Charles T. Fletcher Jr., M.D.
- Orthopaedic Surgery Physician
- Montgomery, AL
National Provider Identifier
1093775231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 00011026
- Practice address
- 454 Taylor Rd
Montgomery, AL 36117-3563 - Phone
- (334) 613-9000
- Fax
- (334) 532-0056
- NPI assigned
- Mar 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 00011026 | AL | Primary |
Addresses
Primary practice location
454 Taylor Rd
Montgomery, AL 36117-3563
Mailing address
454 Taylor Rd
Montgomery, AL 36117-3563
Phone (334) 613-9000
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009939358 | Medicaid | AL | |
| 009939359 | Medicaid | AL | |
| 200026239 | Other | RAILROAD MEDICARE | |
| 510-07497 | Other | AL | BCBS |
| 000037187 | Medicaid | AL | |
| 510-01332 | Other | AL | BCBS |
| 510-37187 | Other | AL | BCBS |
| 0910137 | Other | AL | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00011026 | AL | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395792000000",
"number": "1093775231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "454 TAYLOR RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361173563",
"telephone_number": "334-613-9000",
"fax_number": "334-532-0056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "454 TAYLOR RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361173563",
"telephone_number": "334-613-9000",
"fax_number": "334-532-0056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "CHARLES",
"middle_name": "T.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2014-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AL",
"license": "00011026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009939358",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009939359",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "200026239",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "510-07497",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000037187",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "510-01332",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "510-37187",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0910137",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.