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

Charles L Sullivan, MD

Individual provider Orthopaedic Hand Surgery Physician · NPI 1619929635

Charles L Sullivan, MD is a Hand Surgery in Missoula, Montana. Graduated from University of Utah School of Medicine in 2001, 25 years ago. Practices with Missoula Bone and Joint LLC, a 56-clinician group and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
25
Trained at
University of Utah School of Medicine
Licensed in
MT
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

2360 Mullan Rd Ste C
Missoula, MT 59808-1811
Phone: (406) 721-4436
Fax: (406) 721-6053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Hand Surgery Physician (primary) Taxonomy 207XS0106X · Licence 12035 (MT)

Record details

NPI number1619929635
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESJune 2, 2011

Medicare enrollment

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

Medicare specialtyHAND SURGERY
Also practisesORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Missoula Bone And Joint Llc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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