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Deactivated NPI 1114912532 Deactivated / Inactive NPI Male Practitioner

Dr. Charles T Polis , MD

Urology • Bradenton, 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 Polis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 12, 2005
NPI Deactivation Date October 16, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Polis, MD was a registered Urology practicing in Bradenton, FL. Throughout an active medical career spanning 19 years, Dr. Polis provided care at the practice location at 1410 59TH ST W until profile deactivation on 2024-10-16.

Practice Location & Contact Primary Location

Practice Address

1410 59th St W

Bradenton, FL 342094607

Telephone 9417921477
Fax 9417948017
Associated Practice Facility / Clinic
🏢 21st Century Oncology Llc Facility NPI 1013291913

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Bradenton, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.4 Yrs
State Avg: 29.7 Yrs
Regional Practice Density
12 Specialists

Practicing in Bradenton, FL (1082 Statewide)

Telehealth Adoption Rate
41.7% 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

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License FL ME0016360

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1235122631

Doctor of Medicine (M.D.)

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 October 16, 2024

Record deactivated on October 16, 2024

NPI Profile Active July 22, 2011

NPI status registered as active in NPPES database

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Updated Practice Location July 22, 2011

Registered at 1410 59TH ST W, BRADENTON, FL 342094607 (Tel: 9417921477)

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Updated Business Mailing Address July 22, 2011

Registered at 1410 59TH ST W, BRADENTON, FL 342094607 (Tel: 9417921477)

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Provider Name / Credentials Updated July 22, 2011

Recorded as CHARLES POLIS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2011

Urology (License #ME0016360 in FL)

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Initial NPI Registration & Enumeration September 12, 2005

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: 1114912532
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2005
Last Update: July 22, 2011
Deactivation Date: October 16, 2024

Mailing Address

1410 59th St W

Bradenton, FL 342094607

Phone: 9417921477

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.