Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alex James Charboneau, MD

Individual provider Surgery Physician · NPI 1649731068

Alex James Charboneau, MD is a Surgery Physician in Louisville, Kentucky. Works from 2 locations. Licensed in Kentucky, Washington and Wisconsin.

Licensed in
KY, WA, WI
In the registry since
2019
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

550 S Jackson St
Louisville, KY 40202-1622
Phone: (502) 852-5193
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 60508 (KY)
Surgery Physician Taxonomy 208600000X · Licence 60951432 (WA)
Colon & Rectal Surgery Physician Taxonomy 208C00000X · Licence 87076-20 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1649731068
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2019
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026

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