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

Dr. Charles Frederick Hagenow, MD

Individual provider Family Medicine Physician · NPI 1568450732

Dr. Charles Frederick Hagenow, MD is a Family Medicine Physician in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in
IN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

714 N Michigan St
South Bend, IN 46601-1035
Phone: (574) 647-7477
Fax: (574) 647-3655
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01024048A (IN)

Record details

NPI number1568450732
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 11, 2005
Last updated in NPPESMarch 30, 2021
Certification dateMarch 30, 2021

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