Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225073422 Individual Practitioner Female Practitioner

Dr. Constance M Charles-Logan , MD

Pediatrics • Bradenton, FL

Professional Overview & Biography Verified Profile Summary

Dr. Constance Charles-Logan, MD is a registered healthcare professional specializing in Pediatrics in Bradenton, FL. Practice services are available at 1414 59TH ST W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1414 59th St W

Bradenton, FL 342094607

Telephone 9417610663
Fax 9417613347
Associated Practice Facility / Clinic
🏢 West Coast Pediatrics Facility NPI 1710235569

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Bradenton, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
37 Specialists

Practicing in Bradenton, FL (4160 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

CMS Verified: 2024-05-08
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME61745

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Specialist

NUCC Taxonomy Code: 174400000X

State License FL ME61745

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Maria Walker , APRN

Nurse Practitioner - Family

NPI 1164077350

Advanced Practice Registered Nurse

NPI 1205099736

Doctor of Medicine (M.D.)

Renee Biehl , APRN

Nurse Practitioner - Family

NPI 1629048418

Advanced Practice Registered Nurse

Kimberly Stitik , ARNP

Nurse Practitioner - Pediatrics

NPI 1821135047

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address May 08, 2024

Registered at 1414 59TH ST W, BRADENTON, FL 342094607 (Tel: 9417610663)

📍
Updated Practice Location January 30, 2024

Registered at 1414 59TH ST W, BRADENTON, FL 342094607 (Tel: 9417610663)

NPI Profile Active January 06, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 06, 2014

Registered at 2211 60TH ST W, BRADENTON, FL 342095569 (Tel: 9417610663)

📍
Updated Business Mailing Address January 06, 2014

Registered at 2211 60TH ST W, BRADENTON, FL 342095569 (Tel: 9417610663)

👤
Provider Name / Credentials Updated January 06, 2014

Recorded as CONSTANCE CHARLES-LOGAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2014

Specialist (License #ME61745 in FL)

🟢
Initial NPI Registration & Enumeration June 19, 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: 1225073422
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2006
Last Update: May 08, 2024
Sole Proprietor: Yes

Mailing Address

1414 59th St W

Bradenton, FL 342094607

Phone: 9417610663

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.