DR. WALTER ROBERT TUCKER MD - NPI 1992731996 - Family Medicine in Charlotte, NC

Q: What is Walter Tucker's NPI number?

The NPI number for Walter Tucker is 1992731996. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Q: What is Walter Tucker's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Walter Tucker was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

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About Dr. Walter Robert Tucker Md NPPES

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

DR. WALTER ROBERT TUCKER MD (NPI 1992731996) is an individual family medicine provider in Charlotte, North Carolina, licensed in North Carolina (19417) and active in the NPI registry since June 2006. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1992731996

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. WALTER ROBERT TUCKERCredential: MD

Location Address8420 UNIVERSITY EXEC PARK DR STE 850Charlotte, NC 28262-1308

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-1225 · Fax (704) 384-1226

Phone(704) 384-1225

Fax(704) 384-1226

Sole ProprietorNo

Enumeration DateJune 23, 2006

Last NPPES UpdateAugust 15, 20233 updates tracked since enumeration

NPPES CertifiedAugust 15, 2023

✔ NPI 1992731996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 19417

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8420 UNIVERSITY EXEC PARK DR STE 850, Charlotte, NC 28262

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Secondary Practice Locations 2

Location 1125 Queens Rd Ste 330Charlotte, NC 28204-3419 · Phone (704) 384-5043 · Fax (704) 384-8895

Location 28310 University Exec Park Dr, Suite 550Charlotte, NC 28262-3383 · Phone (704) 384-1225 · Fax (704) 384-1226

Other Identifiers 1

Medicaid8983931NC

Other Providers at the Same Location NPPES 17

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

TRINA MAGNO MANALO MD

Family Medicine