Charles M Bucci, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA2123 Issued in FL

Practice address

1306 NE 7TH Ter
Gainesville, FL 32601-3726

Phone

(352) 317-0788

NPI assigned

Nov 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1831371004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 NE 7TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326013726",
            "telephone_number": "352-317-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 NE 7TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326013726",
            "telephone_number": "352-317-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCCI",
        "first_name": "CHARLES",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-29",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA2123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292974100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trezlyn Bryant
• Meredith Bryden, LCSW-C
• Samantha Bryl, DNP, APRN, FNP-BC
• Michael R. Bubb, MD
• Kari Bubnow, LMT
• Christopher Eric Bucciarelli, M.D.
• Corrine Faye Buchanan, PH.D., LMHC, LMFT
• Rachel Buchanan, PA-C
• Timothy Buchanan
• Tonneika Buchanan

• Medical Physician Assistant in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.