MEDICARE: CHARLES KERSTEN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	D0101092	MD
2	390200000X	Student in an Organized Health Care Education/Training Program
3	208VP0014X	Interventional Pain Medicine Physician	D0101092	MD

General Provider Information

NPI Number	:	1013477926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES KERSTEN MD

Provider Business Mailing Address
First Line	:	201 DEFENSE HWY STE 205
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-7096
Country	:	US
Telephone Number	:	855-527-7246
Fax Number	:	866-229-5063

Provider Business Practice Location Address
First Line	:	251 NATIONAL HARBOR BLVD STE 501
Second Line	:
City	:	OXON HILL
State	:	MD
Zip	:	20745-1052
Country	:	US
Telephone Number	:	855-527-7246
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2019
Last Update Date	:	07/29/2025

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Directions to “ CHARLES KERSTEN MD” Practice Location

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