Individual provider Active NPI

Charles Bradley Arbogast, D.O.

  • Nephrology Physician
  • Crestview, FL
National Provider Identifier
1740269448
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
OS13671 Issued in FL
Practice address
221 E Redstone Ave
Crestview, FL 32539-5373
Phone
(850) 444-4700
Fax
(850) 862-0482
NPI assigned
Jan 11, 2006
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS13671 FL
Nephrology Physician 207RN0300X OS13671 FL Primary

Addresses

Primary practice location

221 E Redstone Ave
Crestview, FL 32539-5373

Mailing address

PO Box 11037
Pensacola, FL 32524-1037
Phone (850) 444-4700

Other practice location 1

319 Green Acres Rd Ste 103
Fort Walton Beach, FL 32547-1170
Phone (850) 444-4700

Other practice location 2

1619 Creighton Rd Ste 1
Pensacola, FL 32504-7152
Phone (850) 444-4700

Other identifiers 2

IdentifierTypeStateIssuer
016196500MedicaidFL
CKU3WOtherFLBCBSFL

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
I20151222002423 FL Practitioner - NephrologyPractitioner - Internal Medicine 3971742214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Kansas City Medical College, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pensacola Nephrology PAGroup PAC ID 7214832856, 37 clinicians

Practice addresses (Care Compare)

1619 Creighton Rd
Suite 1
Pensacola, FL 32504-7152
Phone (850) 444-4700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
WW Medical Center, PA CurrentSince May 2, 2026 Accepting new patients
White-Wilson Medical Center PA CurrentSince Dec 23, 2015 Accepting new patients
Pensacola Nephrology, PA Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
Pensacola Nephrology, PA Nephrology CurrentSince Nov 1, 2025 Accepting new patients
Fresenius Vascular Care Pensacola LLC Nephrology Past Accepting new patients
Pensacola Nephrology, PA Internal Medicine Past Accepting new patients

Locations

221 E Redstone Ave
Crestview, FL 32539
Phone (850) 398-6606

1299 US Highway 90 W
Ste 1
Defuniak Springs, FL 32433
Phone (850) 267-1603

43 Shoemaker Dr
Defuniak Springs, FL 32433
Phone (850) 892-2119

4415 US Highway 331 S
Defuniak Springs, FL 32435
Phone (850) 398-6606

36474 Emerald Coast Pkwy
Ste 102
Destin, FL 32541

1110 Hospital Rd
Fort Walton Beach, FL 32547
Phone (850) 863-8235

1110 Hospital Rd
#1112
Fort Walton Beach, FL 32547
Phone (850) 863-8100

319 Green Acres Rd
#103
Fort Walton Beach, FL 32547

67 Joe Campbell Rd
Freeport, FL 32439

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

1005 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 863-8100

7720 US Highway 98 W
Ste 240
Miramar Beach, FL 32550
Phone (850) 502-5989

4304 Lancaster Dr
Niceville, FL 32578
Phone (850) 729-4141

1619 Creighton Rd
Ste 1
Pensacola, FL 32504
Phone 85044447001730

Interoperability endpoints

  • Direct secure messaging: charles.arbogast.1@21123.direct.athenahealth.com

Organizations & group practices 6

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 9

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1740269448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11037",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325241037",
            "telephone_number": "850-444-4700",
            "fax_number": "850-862-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E REDSTONE AVE",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395373",
            "telephone_number": "850-444-4700",
            "fax_number": "850-862-0482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 Green Acres Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325471170",
            "country_code": "US",
            "telephone_number": "850-444-4700",
            "fax_number": "850-862-0482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1619 Creighton Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325047152",
            "country_code": "US",
            "telephone_number": "850-444-4700",
            "fax_number": "850-444-7497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARBOGAST",
        "first_name": "CHARLES",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS13671",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "OS13671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016196500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "CKU3W",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

Verify at the official NPI Registry.