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

Charles Bellanger, PA

Individual provider Physician Assistant · NPI 1407880669

Charles Bellanger, PA is a Physician Assistant in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1300 N 12th St Ste 301
Phoenix, AZ 85006-2813
Phone: (602) 239-6968
Fax: (602) 239-4144
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1065 (AZ)

Record details

NPI number1407880669
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 11, 2006
Last updated in NPPESFebruary 15, 2008

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