Active NPI
Charles Vance Buckmaster, M.D.
- General Practice Physician
- Foley, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 00020768
- Practice address
- 8158 State Highway 59
Suite 107
Foley, AL 36535-3880 - Phone
- (251) 955-1600
- Fax
- (251) 955-1602
- NPI assigned
- Sep 22, 2005
- Last updated
- Apr 8, 2024
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 00020768 | AL | Primary |
Addresses
Primary practice location
8158 State Highway 59
Suite 107
Foley, AL 36535-3880
Mailing address
8158 State Hwy 59, Suite 107
Foley, AL 36535
Phone (251) 955-1600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00032604 | Medicaid | AL | |
| 170120 | Medicaid | AL |
Other names 1
- Dr. Charles Vance Buckmaster
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8158 Hwy 59 107
Foley, AL 36535
Phone (251) 445-2563
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00020768 | AL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randolph Health Systems, LLC | Past | Accepting new patients | |
| Foley Clinic Corp | Past | Accepting new patients | |
| Emerald Sands Medical Center | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Bay Minette, AL
- NPI 1568135465
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Foley, AL
- NPI 1699180315
-
- Family Medicine Physician
- Gulf Shores, AL
- NPI 1629027826
-
- General Acute Care Hospital
- Roanoke, AL
- NPI 1194892257
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1194711382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8158 STATE HWY 59, SUITE 107",
"city": "FOLEY",
"state": "AL",
"postal_code": "36535",
"telephone_number": "251-955-1600",
"fax_number": "251-943-7749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8158 STATE HIGHWAY 59",
"address_2": "SUITE 107",
"city": "FOLEY",
"state": "AL",
"postal_code": "365353880",
"telephone_number": "251-955-1600",
"fax_number": "251-955-1602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKMASTER",
"first_name": "CHARLES",
"middle_name": "VANCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-22",
"last_updated": "2024-04-08",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AL",
"license": "00020768",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00032604",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "170120",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHARLES",
"last_name": "BUCKMASTER",
"middle_name": "VANCE",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Foley, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.