Individual provider Active NPI

Albert Eugene Charron, MD

  • Family Medicine Physician
  • Nokomis, FL
National Provider Identifier
1437158409
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME127208 Issued in FL
Practice address
5504 Pinebrook Rd
Nokomis, FL 34275-3672
Phone
(941) 218-6200
Fax
(941) 218-6182
NPI assigned
Jul 20, 2005
Last updated
Apr 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD426949 PA
Family Medicine Physician 207Q00000X MD426949 PA
Family Medicine Physician 207Q00000X ME127208 FL Primary

Addresses

Primary practice location

5504 Pinebrook Rd
Nokomis, FL 34275-3672

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20031217000038 FL Practitioner - Family Practice 1951208016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Hahneman Medical College of the Pacific, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

1065 Tamiami TRL N
Nokomis, FL 34275-2144
Phone (941) 477-2364

13807 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 257-1108

13815 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 426-4900

13823 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 888-0770

150 W McKenzie St
Punta Gorda, FL 33950-5500
Phone (941) 621-6476

1700 E Venice Ave
Venice, FL 34292-3190
Phone (941) 800-4700

171 Ctr Rd
Venice, FL 34285-5572
Phone (941) 499-5407

1720 E Venice Ave
Venice, FL 34292-3190
Phone (941) 483-9700

177 Ctr Rd
Venice, FL 34285-5572
Phone (941) 207-5350

19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535

2675 Winkler Ave
Fort Myers, FL 33901-9328

2675 Winkler Avenue
Suite 200
Fort Myers, FL 33901-9328

400 8TH St N
Naples, FL 34102-5519
Phone (239) 261-5511

4130 Tamiami TRL
Suite 2
Port Charlotte, FL 33952-9207
Phone (941) 787-7100

5504 Pinebrook Rd
Suite 106
Nokomis, FL 34275-3673
Phone (941) 218-6200

900 Pine St
Suite 221
Englewood, FL 34223-4458
Phone (941) 548-1708

953 Del Webb Blvd E
Sun City Center, FL 33573-6669
Phone (813) 634-6880

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD426949PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC Family Medicine CurrentSince Jan 3, 2022 Accepting new patients
Millennium Physician Group LLC Family Medicine CurrentSince Jan 3, 2022 Accepting new patients
Emergency Medical Specialists of Jacksonville Emergency Medicine Past Accepting new patients
West Florida Radiology Associates PA Past Accepting new patients
Erie Physicians Network PC Past Accepting new patients

Locations

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

5504 Pinebrook Rd
Ste 106
Nokomis, FL 34275
Phone (941) 218-6200

2446 Laurel Rd E
North Venice, FL 34275
Phone (941) 218-6200

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: albert.charron.1@4290.direct.athenahealth.com

Organizations & group practices 5

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 5

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1437158409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5504 PINEBROOK RD",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342753672",
            "telephone_number": "941-218-6200",
            "fax_number": "941-218-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARRON",
        "first_name": "ALBERT",
        "middle_name": "EUGENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD426949",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD426949",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME127208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nokomis, FL

Sources for this page

Verify at the official NPI Registry.