DR. CHARLES HENRY GARDNER D.C.
NPI 1932237724
Chiropractor in St Petersburg, FL

Active since March 01, 2007
418 94TH AVE N, ST PETERSBURG, FL 33702(727) 577-0988(727) 576-7994 Get Directions Write a Review

NPPES record last updated: March 21, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Charles Henry Gardner D.c. NPPES

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

DR. CHARLES HENRY GARDNER D.C. (NPI 1932237724) is an individual chiropractor in St Petersburg, Florida, licensed in Florida (CH3635) and active in the NPI registry since March 2007. He is a graduate of Life Chiropractic College (1979).

NPPES Registry Identity

NPI1932237724
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. CHARLES HENRY GARDNERCredential: D.C.
Location Address418 94TH AVE NSt Petersburg, FL 33702-2522
Mailing Address418 94th Ave NSt Petersburg, FL 33702-2522 · (727) 577-0988 · Fax (727) 576-7994
Fax(727) 576-7994
Sole ProprietorYes
Medical School CMSLife Chiropractic CollegeGraduated 1979
Enumeration DateMarch 1, 2007
Last NPPES UpdateMarch 21, 2012
NPI 1932237724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in FL · CH3635
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
418 94TH AVE N, St Petersburg, FL 33702

Other Identifiers 1

Medicare ID-Type Unspecified88907FL

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. Charles Henry Gardner D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284897133
PECOS Enrollment IDI20120514000154

Other Providers at the Same Location NPPES

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

Chiropractor
418 94TH AVE N
ST PETERSBURG, FL 33702

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 Gardner's NPI number?

The NPI number for Charles Gardner is 1932237724. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Charles Gardner located?

Charles Gardner practices at 418 94th Ave N, St Petersburg, FL 33702. The listed phone number is (727) 577-0988.

What is Charles Gardner's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Charles Gardner enrolled in Medicare?

Yes. Charles Gardner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Gardner was last updated on March 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.