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

Charles Anthony Thompson, MD

Individual provider Family Medicine Physician · NPI 1972999035

Charles Anthony Thompson, MD is a Family Practice in Fort Myers, Florida. Qualified in 2015, 11 years ago. Practices with Blanchard Valley Medical Practice LLC, a 72-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Ohio.

Years since qualifying
11
Licensed in
FL, OH
In the registry since
2015
Specialties on file
2
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

4771 S Cleveland Ave
Fort Myers, FL 33907-1317
Phone: (239) 343-9800
Fax: (239) 343-9848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 130 University Dr Ste 1100, Marion, OH 43302-1118 — (740) 692-4450

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME153136 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 35.133936 (OH)

Record details

NPI number1972999035
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 15, 2015
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024
Mailing addressPo Box 2147, Fort Myers, FL 33902-2147

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Blanchard Valley Medical Practice Llc — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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