Active NPI
Charles Franklin Yeager, MD
- General Practice Physician
- Mobile, AL
National Provider Identifier
1689625667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 7542
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051088028 | Other | AL | BCBS 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imc-Family Medical of Mobile, LLC | Current | 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.
-
- Family Medicine Physician
- Mobile, AL
- NPI 1952438160
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.