CHARLES D. RUBLEY DBA BEAVERTON MEDICAL CLINIC
NPI 1821504598
Nurse Practitioner - Family in Beaverton, AL

Q: What is Charles D. Rubley Dba Beaverton Medical Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since December 18, 2017

12815 US HWY 278, BEAVERTON, AL 35544(205) 606-1200(205) 606-1202 Get Directions Write a Review

NPPES record last updated: April 6, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Charles D. Rubley Dba Beaverton Medical Clinic NPPES

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

CHARLES D. RUBLEY DBA BEAVERTON MEDICAL CLINIC (NPI 1821504598) is a healthcare organization registered as a family in Beaverton, Alabama and active in the NPI registry since December 2017. The organization lists Charles D Rubley, Owner / Provider, as its authorized official.

NPPES Registry Identity

NPI1821504598

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameCHARLES D. RUBLEY DBA BEAVERTON MEDICAL CLINIC

Location Address12815 US HWY 278Beaverton, AL 35544

Mailing AddressPo Box 38Beaverton, AL 35544-0038 · (205) 606-1200 · Fax (205) 606-1202

Phone(205) 606-1200

Fax(205) 606-1202

Organization SubpartNo

Authorized OfficialCharles D RubleyOwner / Provider · (205) 606-1200

Enumeration DateDecember 18, 2017

Last NPPES UpdateApril 6, 2018

✔ NPI 1821504598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AL · 1-081378

12815 US HWY 278, Beaverton, AL 35544

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Other Names 1

Doing Business AsCharles D. Rubley Dba Beaverton Medical Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 D. Rubley Dba Beaverton Medical Clinic's NPI number?

The NPI number for Charles D. Rubley Dba Beaverton Medical Clinic is 1821504598. It was assigned to this organization in the NPPES registry on December 18, 2017.

Where is Charles D. Rubley Dba Beaverton Medical Clinic located?

Charles D. Rubley Dba Beaverton Medical Clinic is located at 12815 Us Hwy 278, Beaverton, AL 35544. The listed phone number is (205) 606-1200.

What is Charles D. Rubley Dba Beaverton Medical Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Charles D. Rubley Dba Beaverton Medical Clinic was last updated on April 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.