Individual provider Active NPI

Charles Vance Buckmaster, M.D.

  • General Practice Physician
  • Foley, AL
National Provider Identifier
1194711382
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
00020768 Issued in AL
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00032604MedicaidAL
170120MedicaidAL

Other names 1

  • Dr. Charles Vance Buckmaster Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060209000428 AL Practitioner - General Practice 7719992957 Receives reassigned benefits from 1 practitioner
Practice locations: Foley, AL

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

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00020768ALMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Randolph Health Systems, LLC Past Accepting new patients
Foley Clinic Corp Past Accepting new patients
Emerald Sands Medical Center PastSince Dec 6, 2016 Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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.

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

Verify at the official NPI Registry.