Individual provider Active NPI

Charles J Veale, MD

  • Family Medicine Physician
  • Auburn, AL
National Provider Identifier
1972547479
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10204 Issued in AL
Practice address
2160 Moores Mill Rd
Auburn, AL 36830-8447
Phone
(334) 826-1704
Fax
(334) 826-1787
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10204 AL Primary

Addresses

Primary practice location

2160 Moores Mill Rd
Auburn, AL 36830-8447

Mailing address

2160 Moores Mill Rd
Auburn, AL 36830-8447
Phone (334) 826-1704

Other identifiers 3

IdentifierTypeStateIssuer
051048983OtherALBC ALL LOCATIONS
080146617OtherALRAILROAD MEDICARE
631224199OtherALCOMMERCIALS USE TAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20100928001422 AL Practitioner - Family Practice 6103846860

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10204ALMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1972547479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 MOORES MILL RD",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368308447",
            "telephone_number": "334-826-1704",
            "fax_number": "334-826-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 MOORES MILL RD",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368308447",
            "telephone_number": "334-826-1704",
            "fax_number": "334-826-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEALE",
        "first_name": "CHARLES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "10204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC ALL LOCATIONS",
            "identifier": "051048983",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080146617",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIALS USE TAX ID",
            "identifier": "631224199",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

Verify at the official NPI Registry.