Active NPI
Charles Joseph Hudson IV, CP
- Prosthetist
- Salisbury, MD
National Provider Identifier
1619785631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 1502 Pemberton Dr Unit E
Salisbury, MD 21801-2475 - Phone
- (443) 667-2515
- Fax
- (443) 228-4598
- NPI assigned
- Dec 23, 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 |
|---|---|---|---|---|
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
1502 Pemberton Dr Unit E
Salisbury, MD 21801-2475
Mailing address
7421 W Holland Ave
Willards, MD 21874-1288
Phone (443) 523-4079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Prosthetics, LLC | Prosthetist | Current | Accepting new patients |
Locations
1502 Pemberton Dr
#E
Salisbury, MD 21801
Phone (443) 667-2515
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1619785631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7421 W HOLLAND AVE",
"city": "WILLARDS",
"state": "MD",
"postal_code": "218741288",
"telephone_number": "443-523-4079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 PEMBERTON DR UNIT E",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218012475",
"telephone_number": "443-667-2515",
"fax_number": "443-228-4598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "CHARLES",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"name_suffix": "IV",
"credential": "CP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-12-23",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.