Individual provider Active NPI

Charles Franklin Yeager, MD

  • General Practice Physician
  • Mobile, AL
National Provider Identifier
1689625667
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
7542 Issued in AL
Practice address
3401 Medical Park Dr
BLDG 1 Ste 102
Mobile, AL 36693-3318
Phone
(251) 665-8060
Fax
(251) 665-8061
NPI assigned
May 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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 7542 AL Primary

Addresses

Primary practice location

3401 Medical Park Dr
BLDG 1 Ste 102
Mobile, AL 36693-3318

Mailing address

5320 Highway 90 W
Mobile, AL 36619-4202
Phone (251) 602-1667

Other identifiers 1

IdentifierTypeStateIssuer
051088028OtherALBCBS AL

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Imc-Family Medical of Mobile, LLC CurrentSince Mar 14, 2019 Accepting new patients

Locations

7505 Moffett Rd
Mobile, AL 36618
Phone (251) 649-6112

3401 Medical Park Dr
Bldg 1
Mobile, AL 36693
Phone (251) 665-8060

5320 Highway 90 W
Mobile, AL 36619
Phone (251) 602-1667

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": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1689625667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 HIGHWAY 90 W",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366194202",
            "telephone_number": "251-602-1667",
            "fax_number": "251-602-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 MEDICAL PARK DR",
            "address_2": "BLDG 1 STE 102",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366933318",
            "telephone_number": "251-665-8060",
            "fax_number": "251-665-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEAGER",
        "first_name": "CHARLES",
        "middle_name": "FRANKLIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "7542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "051088028",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.