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CHARLES THEODORE REVELEY JR. MD
NPI 1245265982
Psychiatry & Neurology - Psychiatry in Mountain Brk, AL

Active since July 11, 2006
400 OFFICE PARK DR, SUITE 110, MOUNTAIN BRK, AL 35223(205) 870-8415 Get Directions Write a Review

NPPES record last updated: April 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Theodore Reveley Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES THEODORE REVELEY JR. MD (NPI 1245265982) is an individual psychiatry provider in Mountain Brk, Alabama, licensed in Alabama (MD.28076) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1245265982
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameCHARLES THEODORE REVELEY JR.Credential: MD
Location Address400 OFFICE PARK DR, SUITE 110Mountain Brk, AL 35223-3408
Mailing Address400 Office Park Dr, Suite 110Birmingham, AL 35223-3408 · (205) 870-8415
Phone(205) 870-8415
Sole ProprietorYes
Enumeration DateJuly 11, 2006
Last NPPES UpdateApril 7, 2012
✔ NPI 1245265982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in AL · MD.28076
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
400 OFFICE PARK DR, Mountain Brk, AL 35223
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Other Identifiers 6

Medicare PIN051531151AL
Medicare UPINB65474AL
Other051531151AL · Blue Cross
Other051531152AL · Bc Federal Ehbp
Medicare PINP00334980AL
Other515-92203AL · Bluecross Blueshield

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY TATE THOMAS WADE ALC, MA
Counselor
400 OFFICE PARK DR
MOUNTAIN BRK, AL 35223
Jefferson County (205) 730-6217

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Reveley's NPI number?

The NPI number for Charles Reveley is 1245265982. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Charles Reveley located?

Charles Reveley practices at 400 Office Park Dr Suite 110, Mountain Brk, AL 35223. The listed phone number is (205) 870-8415.

What is Charles Reveley's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Charles Reveley was last updated on April 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.