Charles R. Bokesch, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

19746 Issued in NC

Practice address

708 S South St
Mount Airy, NC 27030-4589

Phone

(336) 786-6146

Fax

(336) 786-8973

NPI assigned

Aug 30, 2005

Last updated

Aug 5, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Surry Medical Specialists, PA

  • Specialist
  • Mount Airy, NC
  • NPI 1437118155

  Internal Medicine

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1184617722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1267",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270301267",
            "telephone_number": "336-786-6146",
            "fax_number": "336-786-8973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S SOUTH ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270304589",
            "telephone_number": "336-786-6146",
            "fax_number": "336-786-8973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOKESCH",
        "first_name": "CHARLES",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "19746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902781",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timonthy Donell Black
• Hannah Bledsoe, PT, DPT
• Donl F Blevins II, DNP, FNP-BC
• Shelby George Blevins III
• Blue Ridge Orthopaedics and Sports Medicine PA
• Elizabeth Bond, MD
• Angela Jill Borders, LCSW
• Darrin Bowen, LCAS
• Kimberly Autumn Bowers, LCSW, LCAS, CSI
• Angela Gwynn Bowman, PAC

• Internal Medicine Physician in Mount Airy, NC
• Providers in Mount Airy, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.