Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Charles Wayne Hartzog Jr., MD

Sports Medicine (Orthopaedic Surgery) Physician in Montgomery, AL · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1952388050

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Registry record

Entity type Individual (Type 1)

Name Charles Wayne Hartzog Jr.

Credential MD

Sex Male

Practice address 4294 Lomac St, Montgomery, AL, 36106

Phone (334) 274-9000

Fax (334) 274-0857

Enumeration date Dec 29, 2005

Last updated in NPPES Apr 11, 2023

Taxonomy & licenses

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License 20880 (AL) Secondary

207XX0005X Sports Medicine (Orthopaedic Surgery) Physician Allopathic & Osteopathic Physicians · License 20880 (AL) Primary

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
000032697	Medicaid	AL	-
000032885	Medicaid	AL	-
200028175	Other	-	RR MEDICARE
6455	Other	-	NCC/TYNET
940627	Other	-	FIRST HEALTH
0910085	Other	-	UNITED HEALTHCARE
551322	Other	-	PRIME HEALTH
5977258	Other	-	AETNA
51032697	Other	-	BLUE CROSS
51032885	Other	-	BLUE CROSS

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.

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Frequently asked questions

What specialty is Charles Hartzog?

Charles Hartzog is registered in NPPES with the primary taxonomy of Sports Medicine (Orthopaedic Surgery) Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-04-11.