DR. CHARLIE SPELL IV MD
NPI 1407585334
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since June 07, 2022PECOS Enrolled
450 CLARKSON AVE, BROOKLYN, NY 11203(718) 245-3408 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Charlie Spell Iv Md NPPES

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

DR. CHARLIE SPELL IV MD (NPI 1407585334) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1407585334
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. CHARLIE SPELL IVCredential: MD
Location Address450 CLARKSON AVEBrooklyn, NY 11203-2012
Mailing Address450 Clarkson AveBrooklyn, NY 11203-2012 · (718) 245-3408
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 7, 2022
NPPES CertifiedJune 7, 2022
NPI 1407585334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
450 CLARKSON AVE, Brooklyn, NY 11203

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Charlie Spell Iv Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335603877
PECOS Enrollment IDI20260715001928
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Obstetrics & Gynecology
450 CLARKSON AVE
BROOKLYN, NY 11203
Internal Medicine (Gastroenterology)
450 CLARKSON AVE, SUITE A
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE, SUNY DOWNSTATE MEDICAL CENTER
BROOKLYN, NY 11203
Internal Medicine (Pulmonary Disease)
450 CLARKSON AVE
BROOKLYN, NY 11203
Family Medicine
450 CLARKSON AVE, MSC 67
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203

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 Charlie Spell's NPI number?

The NPI number for Charlie Spell is 1407585334. It was assigned to this individual provider in the NPPES registry on June 7, 2022.

Where is Charlie Spell located?

Charlie Spell practices at 450 Clarkson Ave, Brooklyn, NY 11203. The listed phone number is (718) 245-3408.

What is Charlie Spell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Charlie Spell enrolled in Medicare?

Yes. Charlie Spell is registered in the Medicare PECOS enrollment system.

Is Charlie Spell affiliated with any hospitals?

According to CMS data, Charlie Spell is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Charlie Spell was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.