Active NPI
Charles M. Soppet, MD
- Internal Medicine Physician
- Dothan, AL
National Provider Identifier
1982607941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 7839
- Practice address
- 210 Westside Dr
Dothan, AL 36303-1928 - Phone
- (334) 793-5074
- Fax
- (334) 793-6460
- NPI assigned
- May 24, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 7839 | AL | Primary |
Addresses
Primary practice location
210 Westside Dr
Dothan, AL 36303-1928
Mailing address
210 Westside Dr
Dothan, AL 36303-1928
Phone (334) 793-5074
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110248042 | Other | RAILROAD MEDICARE | |
| 051512823 | Medicaid | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260921600000",
"number": "1982607941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 WESTSIDE DR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363031928",
"telephone_number": "334-793-5074",
"fax_number": "334-793-6460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 WESTSIDE DR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363031928",
"telephone_number": "334-793-5074",
"fax_number": "334-793-6460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOPPET",
"first_name": "CHARLES",
"middle_name": "M.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2009-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "7839",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110248042",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051512823",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
- Solara Medical Supplies, LLC
- Danielle Lynn Sollars, RN, LCCE, DOULA
- Hae Song
- Sonnogroup, LLC
- Mary Grace Soon, MD
- Sunara H Sotelo, EAMP, DAOM
- South Al Sleep Centers Inc
- Southeast Alabama Counseling & Behavioral Specialist
- Southeast Alabama Counseling and Behavioral Specialist Services, LLC
- Southeast Alabama ENT Head & Neck
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.