Individual provider · Type 1 NPI

Stacey Charles, MD

Family Medicine Physician · Indianapolis, IN

NPI number 1255940417 Active

Practice location

720 Eskenazi Ave Fl 2
Indianapolis, IN 46202-5189

Mailing address

PO Box 637764
Cincinnati, OH 45263-7764

Other practice locations

  • 1040 Wishard Blvd, Indianapolis, IN 46202-2872 · (317) 962-8893

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Medicine Physician Primary 207Q00000X01090538A (IN)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1255940417

Stacey Charles, MD's National Provider Identifier is 1255940417, issued on Jul 23, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 15, 2025.