CHARLES C REEL, M.D. NPI 1972792109

Neuromusculoskeletal Medicine, Sports Medicine in Charlotte Hall, MD

About CHARLES C REEL, M.D.

Charles C Reel, M.d. is a provider in Charlotte Hall, MD. The NPI number assigned to this provider is 1972792109. The practitioner's primary taxonomy code is Neuromusculoskeletal Medicine, Sports Medicine (204C00000X). The provider is registered as an organization and their NPI record was last updated 11 years ago. Charles C Reel, M.d. operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI

1972792109

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameCHARLES C REEL, M.D.
Provider Location Address30065 BUSINESS CENTER DR STE 3 CHARLOTTE HALL, MD 20622 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 290 CHARLOTTE HALL, MD 20622 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date10-24-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-24-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code204C00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationNeuromusculoskeletal Medicine, Sports Medicine
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionDefinition to come.

Business Address

CHARLES C REEL, M.D.
30065 BUSINESS CENTER DR STE 3
CHARLOTTE HALL, MD
ZIP 20622
Phone: (410) 742-1717

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Mailing Address

CHARLES C REEL, M.D.
PO BOX 290
CHARLOTTE HALL, MD
ZIP 20622
Phone:

Authorized Official

Authorized Official Name CHARLES C REEL MD Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleCEO
Authorized Official Phone(410) 742-1717

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

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
985LMEDICARE PIN (08)MD
Previous NPI
1972792091
Next NPI
1972792117