Individual
DR. CHARLES BRADLEY ARBOGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
221 E REDSTONE AVE, CRESTVIEW, FL 32539-5373
(850) 444-4700
(850) 862-0482
Mailing address
PO BOX 11037, PENSACOLA, FL 32524-1037
(850) 444-4700
(850) 862-0482
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS13671
FL
207RN0300X
Nephrology Physician
Primary
OS13671
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016196500
—
FL
01
—
CKU3W
BCBSFL
FL
Enumeration date
01/11/2006
Last updated
12/23/2025
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