CHARLES HOWELL PRUDEN IV MD
NPI 1457492233
Urology in Jacksonville, FL

Q: What is Charles Pruden's NPI number?

The NPI number for Charles Pruden is 1457492233. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Q: What is Charles Pruden's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Pruden was last updated on May 8, 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.

Active since February 12, 2007

75/100

CMS Quality Rating

710 LOMAX ST, JACKSONVILLE, FL 32204(904) 355-6583(904) 355-4922 Get Directions Write a Review

NPPES record last updated: May 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Charles Howell Pruden Iv Md NPPES

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

CHARLES HOWELL PRUDEN IV MD (NPI 1457492233) is an individual urology provider in Jacksonville, Florida, licensed in Florida (ME86675) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1457492233

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameCHARLES HOWELL PRUDEN IVCredential: MD

Location Address710 LOMAX STJacksonville, FL 32204-4004

Mailing Address710 Lomax StJacksonville, FL 32204-4004 · (904) 355-6583 · Fax (904) 355-4922

Phone(904) 355-6583

Fax(904) 355-4922

Sole ProprietorYes

Enumeration DateFebruary 12, 2007

Last NPPES UpdateMay 8, 2008

✔ NPI 1457492233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in FL · ME86675

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

710 LOMAX ST, Jacksonville, FL 32204

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Other Identifiers 2

Medicare ID-Type Unspecified57714ZFL

Medicare UPINH87446FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

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.

KYLE HOLLINGSWORTH PA-C, ATC

Physician Assistant