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

Charles Dougherty, MD

Individual provider Pediatrics Physician · NPI 1134100100

Charles Dougherty, MD is a Pediatrics Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2005.

Licensed in
MO
In the registry since
2005
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

13303 Tesson Ferry Rd
Saint Louis, MO 63128-4062
Phone: (314) 842-5239
Fax: (314) 842-3835
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence R6070 (MO)

Record details

NPI number1134100100
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 8, 2005
Last updated in NPPESSeptember 21, 2012

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