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

Mr. Charles Mitchell Shofner

Individual provider Pediatrics Physician · NPI 1912563594

Mr. Charles Mitchell Shofner is a Pediatrics Physician in Indianapolis, Indiana. Practices as a sole proprietor and works from 3 locations. Licensed in Indiana and Kentucky.

Licensed in
IN, KY
In the registry since
2019
Specialties on file
4
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Practice location Address checks out

1481 W 10th St
Indianapolis, IN 46202-2803
Phone: (317) 554-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 705 Riley Hospital Dr Rm 5837, Indianapolis, IN 46202-5109 — (317) 948-0003
  • 500 S Preston St Rm 305, Louisville, KY 40202-1702 — (502) 852-8696

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 1912563594 (IN)
Pediatrics Physician Taxonomy 208000000X · Licence 1912563594 (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (KY)

Record details

NPI number1912563594
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 19, 2019
Last updated in NPPESJuly 8, 2025
Certification dateJuly 8, 2025

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