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CHARLES BELLANGER PA
NPI 1407880669
Physician Assistant in Phoenix, AZ

Active since July 11, 2006
1300 N 12TH ST STE 301, PHOENIX, AZ 85006(602) 239-6968(602) 239-4144 Get Directions Write a Review

NPPES record last updated: February 15, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Bellanger Pa NPPES

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

CHARLES BELLANGER PA (NPI 1407880669) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (1065) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1407880669
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCHARLES BELLANGERCredential: PA
Location Address1300 N 12TH ST STE 301Phoenix, AZ 85006-2813
Mailing Address6032 W Willow AveGlendale, AZ 85304-1101 · (623) 979-4699 · Fax (623) 878-4629
Phone(602) 239-6968
Fax(602) 239-4144
Sole ProprietorNo
Enumeration DateJuly 11, 2006
Last NPPES UpdateFebruary 15, 2008
✔ NPI 1407880669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AZ · 1065
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1300 N 12TH ST STE 301, Phoenix, AZ 85006
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Other Identifiers 3

Medicare ID-Type Unspecified106369CA
Medicaid103391-06CA
Medicare UPINR55687CA

Other Providers at the Same Location NPPES 7

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

DR. MANDY LIMBERG D.O.
Emergency Medicine
1300 N 12TH ST STE 301
PHOENIX, AZ 85006
Maricopa County (602) 239-6968
IT'S PERSONAL HOME CARE
In Home Supportive Care
1300 N 12TH ST STE 301
PHOENIX, AZ 85006
Maricopa County (480) 508-5798
JEANNE HUMPHREY
Community/Behavioral Health
1300 N 12TH ST STE 301
PHOENIX, AZ 85006
Maricopa County (602) 975-6333
LAUREN WILCOX PA-C
Physician Assistant
1300 N 12TH ST STE 301
PHOENIX, AZ 85006
Maricopa County (602) 229-1999
ALEXIS HENDRIX
Community/Behavioral Health
1300 N 12TH ST STE 301
PHOENIX, AZ 85006
Maricopa County (702) 913-9356
PATRICIA CAMPBELL ANP
Nurse Practitioner (Adult Health)
1300 N 12TH ST STE 301
PHOENIX, AZ 85006
Maricopa County (602) 839-6968
DR. JUSTIN PAUL DEVLIN M.D.
Emergency Medicine
1300 N 12TH ST STE 301
PHOENIX, AZ 85006
Maricopa County (602) 839-6968

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 Bellanger's NPI number?

The NPI number for Charles Bellanger is 1407880669. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Charles Bellanger located?

Charles Bellanger practices at 1300 N 12th St Ste 301, Phoenix, AZ 85006. The listed phone number is (602) 239-6968.

What is Charles Bellanger's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Charles Bellanger was last updated on February 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.