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

Dr. Charles Edwin Runyan III, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1992191431

Dr. Charles Edwin Runyan III, MD is a Diagnostic Radiology in Phoenix, Arizona. Graduated from University of Mississippi School of Medicine in 2015, 11 years ago. Practices with District Medical Group Inc, a 450-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
11
Trained at
University of Mississippi School of Medicine
Licensed in
AZ
In the registry since
2015
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

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone: (602) 989-0412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Radiology Physician (primary) Taxonomy 2085P0229X · Licence 52027 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1992191431
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2015
Last updated in NPPESMay 18, 2020
Certification dateMay 18, 2020

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice District Medical Group Inc — 450 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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