Individual provider Active NPI

Charles Roger Timson, MD

  • Family Medicine Physician
  • Bradenton, FL
National Provider Identifier
1750332821
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
165264 Issued in NY
Practice address
6090 26TH St W
Bradenton, FL 34207-4401
Phone
(941) 218-2353
Fax
(941) 666-5585
NPI assigned
May 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME151589 FL
Family Medicine Physician 207Q00000X 165264 NY Primary

Addresses

Primary practice location

6090 26TH St W
Bradenton, FL 34207-4401

Mailing address

PO Box 110272
Lakewood RCH, FL 34211-0004
Phone (631) 560-4114

Other practice location 1

8620 S Tamiami Trl Ste F&g
Sarasota, FL 34238-3049
Phone (941) 259-6999

Other practice location 2

4250 Bee Ridge Rd
Sarasota, FL 34233-2563
Phone (941) 926-8855

Other identifiers 1

IdentifierTypeStateIssuer
00982687MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040414001464 NY Practitioner - Family Practice 3971597543 Reassigns benefits to 3 organizations
Practice locations: Huntington, NY
I20241120004437 FL Practitioner - Family Practice 3971597543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Medical Associates LLCGroup PAC ID 0648271155, 162 clinicians

Practice addresses (Care Compare)

6500 Jericho Tpke
Suite 23a
Commack, NY 11725-2907
Phone (631) 858-2273

8620 S Tamiami TRL
Suite Fandg
Sarasota, FL 34238-3049
Phone (941) 259-6999

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME151589FLMDFamily Medicine Physician
165264NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Jun 15, 2018 Accepting new patients
Florida Medical Associates LLC CurrentSince Dec 16, 2024 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Jun 15, 2018 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
Country Doctors Family Medicine Hauppauge PC Family Medicine CurrentSince Sep 1, 1999 Accepting new patients
Internal Medicine Associates, PC CurrentSince May 1, 2021 Accepting new patients
Internal Medicine Associates, PC CurrentSince May 1, 2021 Accepting new patients
Long Island Primary Care Associates Family Medicine Past Accepting new patients

Locations

6090 26th St W
Bradenton, FL 34207
Phone (941) 218-2353

13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900

8620 S Tamiami Trl
Ste Fg
Sarasota, FL 34238
Phone (941) 259-6999

4250 Bee Ridge Rd
Sarasota, FL 34233
Phone (941) 909-2717

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

6500 Jericho Tpke
Ste 23A
Commack, NY 11725
Phone (631) 858-2273

25710 Union Tpke
Glen Oaks, NY 11004
Phone (718) 343-7200

226 E Main St
Huntington, NY 11743
Phone (631) 351-8700

775 Park Ave
Ste 145
Huntington, NY 11743
Phone (631) 261-4445

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

7 Lawrence Hill Rd
Huntington, NY 11743
Phone (631) 351-3668

5499 Route 347
Mount Sinai, NY 11766
Phone (631) 331-3910

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

21422 73rd Ave
Oakland Gdns, NY 11364
Phone (718) 347-3500

243 Boyle Rd
Selden, NY 11784
Phone (631) 320-1247

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: charles.timson.1@2983.direct.athenahealth.com
  • Direct secure messaging: charles.timson@sl.eclinicaldirectplus.com
  • Direct secure messaging: charles.timson.2@2983.direct.athenahealth.com

Organizations & group practices 8

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": "1744848000000",
    "number": "1750332821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110272",
            "city": "LAKEWOOD RCH",
            "state": "FL",
            "postal_code": "342110004",
            "telephone_number": "631-560-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6090 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342074401",
            "telephone_number": "941-218-2353",
            "fax_number": "941-666-5585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8620 S Tamiami Trl Ste F&g",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342383049",
            "country_code": "US",
            "telephone_number": "941-259-6999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4250 Bee Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342332563",
            "country_code": "US",
            "telephone_number": "941-926-8855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIMSON",
        "first_name": "CHARLES",
        "middle_name": "ROGER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME151589",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "165264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00982687",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.