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

Charles Gresham Rose Stoneburner Jr., MD

Individual provider Diagnostic Radiology Physician · NPI 1609210129

Charles Gresham Rose Stoneburner Jr., MD is an Interventional Radiology in Orange City, Florida. Graduated from Virginia Commonwealth University, School of Medicine in 2013, 13 years ago. Practices with Florida Hospital Medical Group Inc, a 329-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, Kentucky and Texas.

Years since qualifying
13
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
FL, KY, TX
In the registry since
2013
Specialties on file
4
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

1055 Saxon Blvd
Orange City, FL 32763-8468
Phone: (386) 917-5526
Show map & directions

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

Additional practice locations (1)

  • 3080 College St, Beaumont, TX 77701-4606 — (904) 563-4403

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence ME120997 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence S0099 (TX)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 57448 (KY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence ME120997 (FL)

Record details

NPI number1609210129
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 26, 2013
Last updated in NPPESNovember 26, 2023
Certification dateNovember 26, 2023

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL RADIOLOGY
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Florida Hospital Medical Group Inc — 329 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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