Charles Harry Richard, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS8590 Issued in FL

Practice address

1528 NE 4TH Ave
Fort Lauderdale, FL 33304-1036

Phone

(954) 467-8855

Fax

(954) 467-8857

NPI assigned

Aug 10, 2006

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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 and National Provider Directory roles.

• Alta Medical Care, LLC

  • Primary Care Clinic/Center
  • Sunrise, FL
  • NPI 1265282404
  Medicare reassignment NPD
• Smartcare Medical Center Inc

  • Primary Care Clinic/Center
  • North Miami Beach, FL
  • NPI 1669244539
  Medicare reassignment NPD
• Paule Bazile, LL/Bazile Medical Center

  • General Practice Physician
  • Miami, FL
  • NPI 1396259693
  NPD

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1497766158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 NE 4TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333041036",
            "telephone_number": "954-467-8855",
            "fax_number": "954-467-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 NE 4TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333041036",
            "telephone_number": "954-467-8855",
            "fax_number": "954-467-8857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3537 N Pine Island Rd",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333516638",
            "country_code": "US",
            "telephone_number": "954-495-9595",
            "fax_number": "954-231-7494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "CHARLES",
        "middle_name": "HARRY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268453500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard F Ott MD PA
• Richard Glick, M.D.
• Richard L Travis, Inc
• Richard R Snider PSYD & Associates PA
• Richard S Kleinman MD LLC
• Denise Richards, LCSW
• Pat Richards, LCSW
• Phil-Ann Elizabeth Richards
• Schedavia Lateisha Richards
• Yvonne Elizabeth Richards

• Family Medicine Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.