DR. BASHIRA CHARLES PHD, RN, CRNP
NPI 1861999542
Nurse Practitioner - Pediatrics in Philadelphia, PA

Active since April 10, 2018
440 NORTH BROAD STREET, STUDENT HEALTH SERVICES, PHILADELPHIA, PA 10130(215) 400-5704(215) 400-4173 Get Directions Write a Review

NPPES record last updated: April 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Bashira Charles Phd, Rn, Crnp NPPES

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

DR. BASHIRA CHARLES PHD, RN, CRNP (NPI 1861999542) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP008021) and active in the NPI registry since April 2018. She maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1861999542
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameDR. BASHIRA CHARLESCredential: PHD, RN, CRNP
Location Address440 NORTH BROAD STREET, STUDENT HEALTH SERVICESPhiladelphia, PA 10130-4015
Mailing Address738 Landis StPhiladelphia, PA 19124-3011 · (215) 225-0325 · Fax (215) 400-4173
Fax(215) 400-4173
Sole ProprietorYes
Enumeration DateApril 10, 2018
NPI 1861999542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in PA · SP008021
440 NORTH BROAD STREET, Philadelphia, PA 10130

Secondary Practice Location 1

Location 1738 Landis StPhiladelphia, PA 19124-3011 · Phone (215) 225-0325 · Fax (215) 400-4173

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 Bashira Charles's NPI number?

The NPI number for Bashira Charles is 1861999542. It was assigned to this individual provider in the NPPES registry on April 10, 2018.

Where is Bashira Charles located?

Bashira Charles practices at 440 North Broad Street Student Health Services, Philadelphia, PA 10130. The listed phone number is (215) 400-5704.

What is Bashira Charles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Bashira Charles was last updated on April 10, 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.