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

Dr. Charles D. Crum, MD

Individual provider Diagnostic Radiology Physician · NPI 1487828596

Dr. Charles D. Crum, MD is a Diagnostic Radiology in Tyler, Texas. Graduated from Texas Tech University Health Science Center School of Medicine in 2004, 22 years ago. Practices with Stockton Diagnostic Imaging, a 60-clinician group. Licensed in Arizona and Texas.

Years since qualifying
22
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
AZ, TX
In the registry since
2008
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

627 Turtle Creek Dr
Tyler, TX 75701-1832
Phone: (903) 593-2539
Fax: (903) 593-0559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence N4997 (TX)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 81062 (AZ)

Record details

NPI number1487828596
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 18, 2008
Last updated in NPPESNovember 13, 2020
Certification dateNovember 13, 2020
Mailing address816 W Cannon St, Fort Worth, TX 76104-3146

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Stockton Diagnostic Imaging — 60 clinicians
Accepts Medicare assignment Not indicated
Practice locations14 on file with Medicare

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