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

Dr. Richard Allen Dougherty, MD

Individual provider Internal Medicine Physician · NPI 1629068515

Dr. Richard Allen Dougherty, MD is an Internal Medicine in Charlotte, North Carolina. Graduated from State University of Ny Upstate Medical University in 1987, 39 years ago. Licensed in North Carolina.

Years since qualifying
39
Trained at
State University of Ny Upstate Medical University
Licensed in
NC
In the registry since
2005
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

10450 Park Rd Ste 200
Charlotte, NC 28210-8505
Phone: (704) 541-9002
Fax: (704) 542-6701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 9300686 (NC)

Record details

NPI number1629068515
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 24, 2005
Last updated in NPPESAugust 17, 2022
Certification dateAugust 17, 2022

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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