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

Charles R Anderson, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1477508182

Charles R Anderson, MD is a Sports Medicine (Family Medicine) Physician in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
Specialties on file
2
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

2810 Nicollet Ave
Minneapolis, MN 55408-4708
Phone: (612) 873-6963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 30395 (MN)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 30395 (MN)

Record details

NPI number1477508182
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2006
Last updated in NPPESJuly 15, 2020
Certification dateJuly 15, 2020

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