Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1255510665 Deactivated / Inactive NPI Male Practitioner

Dr. Charles Donavon Fraley , MD

General Practice • Bayonet Point, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charles Fraley has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 01, 2007
NPI Deactivation Date May 03, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Fraley, MD was a registered General Practice practicing in Bayonet Point, FL. Throughout an active medical career spanning 16 years, Dr. Fraley provided care at the practice location at 12730 3RD ISLE until profile deactivation on 2023-05-03.

Practice Location & Contact Primary Location

Practice Address

12730 3rd Isle

Bayonet Point, FL 346671990

Telephone 7278684680
Fax 7278684680

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Bayonet Point, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Bayonet Point, FL (2490 Statewide)

Telehealth Adoption Rate
0.0% 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ME20656

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 03, 2023

Record deactivated on May 03, 2023

NPI Profile Active November 01, 2007

NPI status registered as active in NPPES database

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Updated Practice Location November 01, 2007

Registered at 12730 3RD ISLE, BAYONET POINT, FL 346671990 (Tel: 7278684680)

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Updated Business Mailing Address November 01, 2007

Registered at 12730 3RD ISLE, BAYONET POINT, FL 346671990 (Tel: 7278684680)

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Provider Name / Credentials Updated November 01, 2007

Recorded as CHARLES FRALEY, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2007

General Practice (License #ME20656 in FL)

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Initial NPI Registration & Enumeration November 01, 2007

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: 1255510665
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2007
Last Update: November 01, 2007
Deactivation Date: May 03, 2023

Mailing Address

12730 3rd Isle

Bayonet Point, FL 346671990

Phone: 7278684680

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.