MEDICARE: CHARLES F FELGNER M.D.

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	207R00000X	Internal Medicine Physician	6000	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00728703	OTHER	AL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	51594398	OTHER	AL	BCBS
5	51507939	OTHER	AL	BCBS

General Provider Information

NPI Number	:	1871594176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES F FELGNER M.D.

Provider Business Mailing Address
First Line	:	4600 HWY 280 S
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-5028
Country	:	US
Telephone Number	:	205-259-3991
Fax Number	:	205-683-2468

Provider Business Practice Location Address
First Line	:	1 W LAKESHORE DR STE 100
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-7271
Country	:	US
Telephone Number	:	205-930-2950
Fax Number	:	205-930-2957

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	08/16/2023

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Directions to “ CHARLES F FELGNER M.D.” Practice Location

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