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

Charles D Randolph, MD

Individual provider Family Medicine Physician · NPI 1760040281

Charles D Randolph, MD is a Family Practice in Grand Coulee, Washington. Graduated from Loma Linda University School of Medicine in 2019, 7 years ago. Practices with Douglas, Grant, Lincoln and Okanogan Counties Public Hospital District, a 40-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
7
Trained at
Loma Linda University School of Medicine
Licensed in
WA
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

411 Fortuyn Rd
Grand Coulee, WA 99133-8718
Phone: (509) 633-1911
Fax: (509) 633-3644
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD61172546 (WA)

Record details

NPI number1760040281
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 30, 2019
Last updated in NPPESJuly 7, 2022
Certification dateJuly 7, 2022
Mailing address411 Fortuyn Rd, Grand Coulee, WA 99133-8718

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Douglas, Grant, Lincoln And Okanogan Counties Public Hospital District — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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