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

Dr. Charles Robert Blackwell, DO

Individual provider General Practice Physician · NPI 1508203225

Dr. Charles Robert Blackwell, DO is an Internal Medicine in Stuart, Florida. Graduated from Nova Southeastern College of Osteo Medicine in 2013, 13 years ago. Practices with Martin Memorial Medical Center Inc, a 516-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Pennsylvania.

Years since qualifying
13
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
IL, PA
In the registry since
2013
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

200 SE Hospital Ave
Stuart, FL 34994-2346
Phone: (772) 287-5299
Show map & directions

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

Additional practice locations (1)

  • 5140 N California Ave, Chicago, IL 60625-3645 — (773) 878-8200

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 125074845 (IL)
General Practice Physician Taxonomy 208D00000X · Licence OS017238 (PA)

Record details

NPI number1508203225
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 4, 2013
Last updated in NPPESJune 8, 2022
Certification dateJune 8, 2022
Mailing address5395 London Groveport Rd, Orient, OH 43146-9220

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2013 (13 years in practice)
Group practice Martin Memorial Medical Center Inc — 516 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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