# DR. CHARLES E. DRISCOLL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1093713950
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101224139 | VA | Yes |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | 0101224139 | VA | — |

## Other

- **Enumeration date:** 07/13/2005
- **Last updated:** 04/28/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0056-4239-6 | — | VA |
| 05 | — | 005644011 | — | VA |
| 01 | — | 01-02054 | UNITED HEALTHCARE PROVIDE | — |
| 01 | — | 216430 | ANTHEM PROVIDER NUMBER | — |
| 01 | — | 248773 | SOUTHERN HEALTH PROVIDER | — |
| 01 | — | 41816 | SENTARA/OPTIMA PROVIDER N | — |
| 01 | — | 541457983 | PCHP PROVIDER NUMBER | — |
| 01 | — | 56-4401-1 | VA PREMIER PROVIDER NUMBE | — |
| 01 | — | 9035997 | CIGNA PROVIDER NUMBER | — |
| 01 | — | 93672 | MEDCOST PROVIDER NUMBER | — |