Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407880669 Individual Practitioner Male Practitioner

Charles Bellanger , PA

Physician Assistant • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Charles Bellanger, PA is a registered healthcare professional specializing in Physician Assistant in Phoenix, AZ. Practice services are available at 1300 N 12TH ST STE 301 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1300 N 12th St Ste 301

Phoenix, AZ 850062813

Telephone 6022396968
Fax 6022394144
Associated Practice Facility / Clinic
🏢 It's Personal Home Care Facility NPI 1144083510

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
938 Specialists

Practicing in Phoenix, AZ (3711 Statewide)

Telehealth Adoption Rate
14.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 1065

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
103391-06 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Dr. Nishant Anand , MD

Emergency Medicine

NPI 1093847659

Doctor of Medicine (M.D.)

Dr. Anne Hermida , MD

Emergency Medicine

NPI 1104835610

Doctor of Medicine (M.D.)

Dr. Mandy Limberg , DO

Emergency Medicine

NPI 1114110533

Doctor of Osteopathic Medicine (D.O.)

Dr. Richard Bruno , MD

Emergency Medicine

NPI 1215941836

Doctor of Medicine (M.D.)

Dr. Todd Taylor , MD

Emergency Medicine

NPI 1255334785

Doctor of Medicine (M.D.)

Dr. Devin Minior , MD

Emergency Medicine

NPI 1386803088

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 15, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location February 15, 2008

Registered at 1300 N 12TH ST STE 301, PHOENIX, AZ 850062813 (Tel: 6022396968)

📍
Updated Business Mailing Address February 15, 2008

Registered at 6032 W WILLOW AVE, GLENDALE, AZ 853041101 (Tel: 6239794699)

👤
Provider Name / Credentials Updated February 15, 2008

Recorded as CHARLES BELLANGER, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2008

Physician Assistant (License #1065 in AZ)

🟢
Initial NPI Registration & Enumeration July 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407880669
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2006
Last Update: February 15, 2008
Sole Proprietor: No

Mailing Address

6032 W Willow Ave

Glendale, AZ 853041101

Phone: 6239794699

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.