Charles Jackie Carpenter Jr., MD
Charles Jackie Carpenter Jr. is a Surgery Physician provider (Surgery) practicing in Dothan, AL, registered in the NPPES registry with NPI 1073508404 since 2005. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1073508404 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Charles Jackie Carpenter Jr. |
| Credential | MD |
| Sex | Male |
| Practice address | Dothan, AL, 36305 |
| Phone | 3347939564 |
| Fax | 3346718907 |
| Enumeration date | 2005-09-12 |
| Last updated in NPPES | 2021-03-03 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | 17706 | AL |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000032574 | Medicaid | AL | — |
| 1073508404 | Other | — | NPI |
| 00801743A | Medicaid | GA | — |
Copy-ready billing details
Provider: Charles Carpenter, MD NPI: 1073508404 Taxonomy: 208600000X (Surgery Physician) Address: Dothan, AL, 36305
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1861471096 | Fady Wanna | Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | Dothan, AL |
| 1982677803 | Thomas Gauldin | Individual | Surgical Physician Assistant | Dothan, AL |
| 1922072834 | Victor Dreicer | Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | Dothan, AL |
| 1912282948 | Imran Khalil | Individual | Interventional Cardiology Physician | Dothan, AL |
| 1184995292 | Jason Cox | Individual | Adult Health Nurse Practitioner | Dothan, AL |
| 1982025003 | Wendi Tice | Individual | Nurse Practitioner | Dothan, AL |
| 1457739286 | Zachary Bryant | Individual | Surgery Physician | Dothan, AL |
| 1124641139 | Michael Puccinelli | Individual | Surgery Physician | Dothan, AL |
Verify this record
Cross-check NPI 1073508404 against the authoritative CMS record: view Charles Jackie Carpenter Jr. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What specialty is Charles Carpenter?
Is this the official NPI registry?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-03-03.