Individual provider · Type 1 NPI

Alex James Charboneau, MD

Surgery Physician · Louisville, KY

NPI number 1649731068 Active

Practice location

550 S Jackson St
Louisville, KY 40202-1622

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Other practice locations

  • 2845 Greenbrier Rd, Green Bay, WI 54311-6519 · (920) 490-9046

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician 2086S0129X87076 (WI)
Surgery Physician Primary 208600000X87076 (WI)
Surgery Physician 208600000X60951432 (WA)
Colon & Rectal Surgery Physician 208C00000X87076-20 (WI)
Surgery Physician 208600000X60508 (KY)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1649731068

Alex James Charboneau, MD's National Provider Identifier is 1649731068, issued on Mar 28, 2019. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Louisville, KY. The record was last updated on Sep 1, 2026.