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

Charles K Wanich, MD

Individual provider Nephrology Physician · NPI 1376642355

Charles K Wanich, MD is a Nephrology in Merritt Island, Florida. Qualified in 1972, 54 years ago. Practices with Brevard Nephrology Group PA, a 5-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
54
Licensed in
FL
In the registry since
2006
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

245 S Courtenay Pkwy Bldg B
Merritt Island, FL 32952
Phone: (321) 453-5326
Fax: (321) 452-8507
Show map & directions

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence ME36933 (FL)

Record details

NPI number1376642355
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 22, 2006
Last updated in NPPESOctober 26, 2011
Mailing address245 S Courtenay Parkway, Bldg B, Merritt Island, FL 32952

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1972 (54 years in practice)
Group practice Brevard Nephrology Group Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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